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General NPI Number Information
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NPI Number | 1073890430
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Entity Type | Individual
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Provider Name | JANICE GAIL STEVENS RPH
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Gender | Female
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Dates
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Enumeration Date | 11/12/2011
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Last Update Date | 11/12/2011
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Provider Practice Location Address
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Address Line | 5016 S US HIGHWAY 75
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City | DENISON
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State | TX
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Zip | 75020-4584
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Country | US
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Telephone | 903-416-4066
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Fax |
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Provider Business Mailing Address
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Address Line | 1118 S TRAVIS ST
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City | SHERMAN
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State | TX
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Zip | 75090-8508
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Country | US
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Telephone | 903-267-6072
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 31368
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License Number State | TX
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Taxonomy #2
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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 | 1-10193
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License Number State | KS
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Taxonomy #3
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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 | 26016254A
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License Number State | IN
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