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General NPI Number Information
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NPI Number | 1114522380
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Entity Type | Individual
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Provider Name | TODD BARROW LOGAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/03/2020
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 4603 OKEECHOBEE BLVD STE 118
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-4636
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Country | US
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Telephone | 561-268-2552
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Fax | 561-328-7586
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Provider Business Mailing Address
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Address Line | 4318 HAZEL AVE APT C
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2607
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Country | US
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Telephone | 561-329-2986
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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 | PS52135
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License Number State | FL
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