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General NPI Number Information
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NPI Number | 1194958462
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Entity Type | Individual
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Provider Name | JAMAICA R STANDIFORD PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 1409 HIGHWAY 101 S
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City | REEDSPORT
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State | OR
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Zip | 97467-1605
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Country | US
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Telephone | 541-271-3631
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Fax |
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Provider Business Mailing Address
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Address Line | 7634 LOWER SMITH RIVER RD
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City | REEDSPORT
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State | OR
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Zip | 97467-8710
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Country | US
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Telephone | 541-337-6478
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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 | RPH-0012764
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License Number State | OR
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