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General NPI Number Information
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NPI Number | 1285234856
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Entity Type | Individual
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Provider Name | TONYA JEAN ANDERSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/31/2020
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Last Update Date | 10/31/2020
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Provider Practice Location Address
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Address Line | 4400 W TENNESSEE ST
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City | TALLAHASSEE
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State | FL
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Zip | 32304-1029
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Country | US
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Telephone | 850-574-4613
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Fax | 850-574-3966
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Provider Business Mailing Address
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Address Line | 4047 SWIFT WAY
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City | TALLAHASSEE
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State | FL
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Zip | 32311-3306
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Country | US
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Telephone | 850-447-1010
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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 | PS38965
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License Number State | FL
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