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General NPI Number Information
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NPI Number | 1942603048
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Entity Type | Organization
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Legal Business Name | RPH ON THE GO USA
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 7377 ALCOA RD TARGET PHARMACY
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City | BRYANT
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State | AR
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Zip | 72022
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Country | US
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Telephone | 501-776-4361
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Fax |
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Provider Business Mailing Address
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Address Line | 8001 LINCOLN AVE STE 800
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City | SKOKIE
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State | IL
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Zip | 60077-3657
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Country | US
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Telephone | 800-553-7359
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Fax | 847-588-7060
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Authorized Official
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Title or Position | RECRUITER
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Name | YVETTE SONERA
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Credential |
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Telephone | 847-779-6132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | PD07355
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License Number State | AR
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