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General NPI Number Information
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NPI Number | 1134664212
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Entity Type | Individual
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Provider Name | MILINDA HEARNS RPH
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Gender | Female
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Dates
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Enumeration Date | 12/29/2016
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Last Update Date | 12/29/2016
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Provider Practice Location Address
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Address Line | 1950 COMMONWEALTH LN
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City | TALLAHASSEE
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State | FL
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Zip | 32303-3196
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Country | US
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Telephone | 850-504-6262
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Fax | 850-504-6262
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Provider Business Mailing Address
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Address Line | 1575 PAUL RUSSELL RD UNIT 1702
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City | TALLAHASSEE
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State | FL
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Zip | 32301-1630
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Country | US
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Telephone | 904-386-1368
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Fax | 850-270-9449
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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 | PS0032518
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License Number State | FL
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