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General NPI Number Information
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NPI Number | 1861049173
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Entity Type | Individual
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Provider Name | ZACH HOUFEK PHARM D
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Gender | Male
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 11109 S 84TH ST STE 1841
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City | PAPILLION
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State | NE
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Zip | 68046-4133
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Country | US
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Telephone | 402-827-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 1024 DODGE ST APT 304
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City | OMAHA
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State | NE
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Zip | 68102-1191
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Country | US
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Telephone | 402-213-9176
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16561
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License Number State | NE
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