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General NPI Number Information
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NPI Number | 1972938447
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Entity Type | Individual
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Provider Name | JOHANNES RETIEF ORFFER RPH
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Gender | Male
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | SAFEWAY #3295 1001 N 4TH STREET
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City | COEUR D ALENE
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State | ID
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Zip | 83814-3113
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Country | US
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Telephone | 208-667-3860
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Fax | 208-664-1659
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Provider Business Mailing Address
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Address Line | 443 E KNOTTY PINE LN APT 2
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City | COEUR D ALENE
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State | ID
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Zip | 83815-1804
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Country | US
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Telephone | 207-812-8141
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Fax | 208-664-1659
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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 | P9038
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License Number State | ID
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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 | PH61631531
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PR12594
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License Number State | ME
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