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General NPI Number Information
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NPI Number | 1962238121
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Entity Type | Individual
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Provider Name | MADALYN MCNAMARA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/12/2024
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 700 E UNIVERSITY AVE
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City | DES MOINES
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State | IA
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Zip | 50316-2392
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Country | US
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Telephone | 515-263-5510
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Fax |
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Provider Business Mailing Address
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Address Line | 10503 SOUTHERWICK PL
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City | JOHNSTON
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State | IA
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Zip | 50131-2561
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Country | US
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Telephone | 815-861-5839
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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 | 24798
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License Number State | IA
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