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General NPI Number Information
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NPI Number | 1093322844
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Entity Type | Individual
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Provider Name | JOSEPH THOMAS HOWDESHELL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 4701 NORTHPORT BLVD
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City | SHREVEPORT
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State | LA
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Zip | 71107-2539
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Country | US
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Telephone | 318-929-3071
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 COATES BLUFF DR APT 426
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City | SHREVEPORT
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State | LA
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Zip | 71104-2849
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Country | US
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Telephone | 520-234-6376
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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 | PST.023046
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License Number State | LA
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