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General NPI Number Information
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NPI Number | 1245390152
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Entity Type | Individual
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Provider Name | NATHAN POPE PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 1611 W 5TH ST STE 160
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City | AUSTIN
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State | TX
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Zip | 78703-4874
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Country | US
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Telephone | 512-965-8393
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Fax | 512-672-6151
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Provider Business Mailing Address
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Address Line | 3005 S LAMAR BLVD STE D109-156
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City | AUSTIN
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State | TX
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Zip | 78704-8864
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Country | US
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Telephone | 512-965-8393
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Fax | 512-672-6151
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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 | 40777
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License Number State | TX
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