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General NPI Number Information
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NPI Number | 1174651335
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Entity Type | Individual
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Provider Name | TINA DETILLIER
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 108 ACADIA DR
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City | RACELAND
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State | LA
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Zip | 70394-0108
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Country | US
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Telephone | 985-537-5255
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Fax |
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Provider Business Mailing Address
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Address Line | 5170 HIGHWAY 1
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City | RACELAND
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State | LA
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Zip | 70394-5170
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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 | 14742
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License Number State | LA
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