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General NPI Number Information
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NPI Number | 1902072242
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Entity Type | Individual
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Provider Name | LISA ZIELBAUER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 32201 VILLAGE GREEN BLVD
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City | WARRENVILLE
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State | IL
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Zip | 60555-5907
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Country | US
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Telephone | 630-216-9785
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Fax |
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Provider Business Mailing Address
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Address Line | 32201 VILLAGE GREEN BLVD
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City | WARRENVILLE
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State | IL
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Zip | 60555-5907
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Country | US
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Telephone | 630-216-9785
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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 | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | 051299680
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 051299680
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 051299680
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 051299680
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 049163521
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051299680
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License Number State | IL
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