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General NPI Number Information
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NPI Number | 1003208547
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Entity Type | Individual
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Provider Name | BRIAN THOMAS BADGLEY PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 02/20/2015
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 2240 NORTHPARK DR
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City | KINGWOOD
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State | TX
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Zip | 77339-1743
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Country | US
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Telephone | 281-358-5458
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Fax |
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Provider Business Mailing Address
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Address Line | 2240 NORTHPARK DR
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City | KINGWOOD
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State | TX
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Zip | 77339-1743
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Country | US
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Telephone |
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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 | 52463
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License Number State | TX
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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 | 056748
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License Number State | NY
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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 | 5302040677
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License Number State | MI
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Taxonomy #4
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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 | 52463
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License Number State | TX
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Taxonomy #5
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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 | 056748
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License Number State | NY
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Taxonomy #6
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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 | 5302040677
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License Number State | MI
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