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General NPI Number Information
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NPI Number | 1871594580
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Entity Type | Individual
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Provider Name | RHONDA S EMRY RPH CDM
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Gender | Female
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1990 GRAND AVE
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City | WEST DES MOINES
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State | IA
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Zip | 50265-4222
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Country | US
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Telephone | 515-223-8506
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Fax | 515-225-1628
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Provider Business Mailing Address
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Address Line | 1030 NE 9TH ST
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City | ANKENY
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State | IA
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Zip | 50021-2080
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Country | US
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Telephone | 515-964-1678
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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 | 16428
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License Number State | IA
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