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General NPI Number Information
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NPI Number | 1336865203
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Entity Type | Individual
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Provider Name | TAMARA LOUISE ALLY RPH
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Gender | Female
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 1300 N HOBART ST
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City | PAMPA
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State | TX
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Zip | 79065-4122
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Country | US
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Telephone | 806-665-2705
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Fax |
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Provider Business Mailing Address
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Address Line | 808 N 5TH ST
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City | SAYRE
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State | OK
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Zip | 73662-2106
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Country | US
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Telephone | 817-946-7872
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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 | 34432
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License Number State | TX
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