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General NPI Number Information
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NPI Number | 1073426029
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Entity Type | Organization
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Legal Business Name | PHARM D
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 2316 WASHINGTON AVE APT 101
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City | NEW ORLEANS
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State | LA
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Zip | 70113-2650
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Country | US
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Telephone | 504-531-2624
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Fax |
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Provider Business Mailing Address
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Address Line | 2316 WASHINGTON AVE APT 101
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City | NEW ORLEANS
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State | LA
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Zip | 70113-2650
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Country | US
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Telephone | 504-531-2624
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. EMERALD MARIE WATSON
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Credential | MD001511000MOBILETX1
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Telephone | 504-531-2624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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