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General NPI Number Information
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NPI Number | 1144631771
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Entity Type | Individual
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Provider Name | TANYA JONES PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/16/2014
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Last Update Date | 05/16/2014
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Provider Practice Location Address
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Address Line | 107 PEACH ORCHARD DR
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City | GREENSBORO
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State | NC
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Zip | 27455-1429
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Country | US
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Telephone | 336-210-2013
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Fax |
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Provider Business Mailing Address
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Address Line | 107 PEACH ORCHARD DR
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City | GREENSBORO
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State | NC
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Zip | 27455-1429
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Country | US
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Telephone |
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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 | 11378
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License Number State | NC
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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 | PS24909
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License Number State | FL
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