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General NPI Number Information
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NPI Number | 1265565717
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Entity Type | Individual
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Provider Name | BAHMAN A. JAVAN PHARM. D
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 09/18/2022
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Provider Practice Location Address
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Address Line | 1101 OFFICE WOODS DR
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City | PENSACOLA
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State | FL
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Zip | 32504-5937
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Country | US
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Telephone | 850-805-2080
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 OFFICE WOODS DR
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City | PENSACOLA
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State | FL
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Zip | 32504-5937
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Country | US
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Telephone | 850-805-2080
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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 | RPH018940
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PU9172
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS42202
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License Number State | FL
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