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General NPI Number Information
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NPI Number | 1164718698
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Entity Type | Individual
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Provider Name | ANN ELIZABETH PICKENS RPH
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Gender | Female
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 06/23/2011
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Provider Practice Location Address
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Address Line | 39739 LBJ FWY
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City | DALLAS
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State | TX
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Zip | 75237-3560
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Country | US
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Telephone | 469-341-3921
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Fax | 469-341-3921
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Provider Business Mailing Address
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Address Line | 1202 WAGON WHEEL RD
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City | GARLAND
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State | TX
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Zip | 75040-3282
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Country | US
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Telephone | 214-803-5737
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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 | 26100
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License Number State | TX
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