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General NPI Number Information
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NPI Number | 1033447370
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Entity Type | Individual
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Provider Name | DOROTHY ARCHIBONG PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 11/25/2009
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Last Update Date | 11/25/2009
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Provider Practice Location Address
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Address Line | 8202 CULEBRA RD
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City | SAN ANTONIO
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State | TX
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Zip | 78251-1686
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Country | US
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Telephone | 210-543-8419
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Fax |
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Provider Business Mailing Address
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Address Line | 5202 TEXANA DR APT 514
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City | SAN ANTONIO
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State | TX
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Zip | 78249-3777
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Country | US
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Telephone | 713-320-0418
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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 | 47690
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License Number State | TX
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