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General NPI Number Information
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NPI Number | 1316265713
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Entity Type | Individual
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Provider Name | JENNIFER COX PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/10/2010
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 2272 SANTIAM HWY SE
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City | ALBANY
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State | OR
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Zip | 97322-5205
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Country | US
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Telephone | 541-926-4491
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Fax |
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Provider Business Mailing Address
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Address Line | 530 NW 27TH ST
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City | CORVALLIS
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State | OR
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Zip | 97330-5223
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Country | US
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Telephone | 541-926-4491
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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 | PI-0010111
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | OR-0012793
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License Number State | OR
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