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General NPI Number Information
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NPI Number | 1114527678
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Entity Type | Individual
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Provider Name | HALEY ELISE RAMSEY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 1703 E CENTRAL AVE
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City | BENTONVILLE
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State | AR
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Zip | 72712-5523
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Country | US
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Telephone | 479-418-0229
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Fax | 479-418-0233
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Provider Business Mailing Address
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Address Line | 15346 MILLS TER
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City | GARFIELD
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State | AR
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Zip | 72732-8777
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Country | US
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Telephone | 479-936-0653
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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 | PD14095
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License Number State | AR
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