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General NPI Number Information
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NPI Number | 1164529707
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Entity Type | Individual
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Provider Name | TONYA DICKEY RPH
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Gender | Female
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 08/31/2011
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Provider Practice Location Address
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Address Line | 2418 S UNION ST
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City | OPELOUSAS
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State | LA
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Zip | 70570-5735
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Country | US
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Telephone | 337-942-3671
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Fax | 866-572-0137
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Provider Business Mailing Address
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Address Line | 1815 HIGHWAY 343
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City | CHURCH POINT
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State | LA
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Zip | 70525-7429
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Country | US
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Telephone | 337-668-4297
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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 | 15425
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License Number State | LA
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