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General NPI Number Information
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NPI Number | 1003919929
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Entity Type | Individual
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Provider Name | PAMELA D SPRABERRY R.PH.
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 515 PRESTON ROYAL VILLAGE DOUGHERTY'S PHARMACY INC.
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City | DALLAS
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State | TX
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Zip | 75230
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Country | US
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Telephone | 214-363-4318
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Fax | 214-363-6570
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Provider Business Mailing Address
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Address Line | 9128 CLAYCO DR
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City | DALLAS
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State | TX
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Zip | 75243-6321
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Country | US
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Telephone | 214-340-9940
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Fax | 214-363-6570
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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 | 31081
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License Number State | TX
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