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General NPI Number Information
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NPI Number | 1083724223
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Entity Type | Individual
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Provider Name | PAMELA BYRNE JOHNSON R.PH., C.PH,
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2200 TALL PINES DR SUITE 118
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City | LARGO
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State | FL
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Zip | 33771-5341
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Country | US
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Telephone | 727-524-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 4021 AUDUBON DR
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City | LARGO
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State | FL
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Zip | 33771-3309
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Country | US
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Telephone | 727-536-7685
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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 | PU626
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License Number State | FL
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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 | PS13520
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License Number State | FL
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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 | 7378
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License Number State | AL
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