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General NPI Number Information
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NPI Number | 1861589459
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Entity Type | Individual
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Provider Name | JULIE KATHRYN KUNTZ RPH
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Gender | Female
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 910 N EISENHOWER AVE
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City | MASON CITY
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State | IA
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Zip | 50401-1525
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Country | US
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Telephone | 641-422-5630
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Fax |
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Provider Business Mailing Address
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Address Line | 2104 380TH ST
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City | GRAFTON
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State | IA
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Zip | 50440-7537
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Country | US
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Telephone | 641-748-2745
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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 | 16477
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License Number State | IA
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