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General NPI Number Information
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NPI Number | 1275888224
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Entity Type | Individual
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Provider Name | ANNA C PATE PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 421 MARY ESTHER CUT OFF NW
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City | FORT WALTON BEACH
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State | FL
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Zip | 32548-4084
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Country | US
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Telephone | 850-301-1334
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Fax | 850-301-1339
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Provider Business Mailing Address
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Address Line | 105 WALNUT ST
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-4418
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Country | US
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Telephone | 205-937-5530
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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 | 22759
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License Number State | NC
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