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General NPI Number Information
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NPI Number | 1881711299
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Entity Type | Individual
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Provider Name | JEANNE ANN POWERS PHARMACY TECH. CPHT
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 509 MAIN ST
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City | ROCKPORT
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State | IN
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Zip | 47635-1429
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Country | US
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Telephone | 812-649-2227
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Fax |
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Provider Business Mailing Address
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Address Line | 3244 EASTBROOKE CT
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City | NEWBURGH
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State | IN
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Zip | 47630-8474
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Country | US
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Telephone | 812-490-2438
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 67002260A
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License Number State | IN
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