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General NPI Number Information
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NPI Number | 1891017778
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Entity Type | Organization
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Legal Business Name | PHARM ASSIST SERVICES PLLC
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 8922 PLEASANT AVE S
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City | HASTINGS
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State | MN
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Zip | 55033-8425
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Country | US
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Telephone | 651-436-2097
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Fax |
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Provider Business Mailing Address
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Address Line | 8922 PLEASANT AVE S
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City | HASTINGS
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State | MN
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Zip | 55033-8425
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Country | US
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Telephone | 651-436-2097
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. LAURA J KELLER
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Credential | PHARMD
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Telephone | 651-436-2097
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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 | 116572
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 116560
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License Number State | MN
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