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General NPI Number Information
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NPI Number | 1366545915
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Entity Type | Individual
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Provider Name | BARBARA ELLEN VANMATER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 11/15/2017
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Provider Practice Location Address
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Address Line | 3220 SW 96TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-3043
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Country | US
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Telephone | 305-575-3122
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Fax | 305-575-3386
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Provider Business Mailing Address
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Address Line | 1436 BEVERLY AVE
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City | CLOVIS
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State | CA
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Zip | 93611-3070
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Country | US
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Telephone | 559-225-6100
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Fax | 559-241-6496
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 45844
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License Number State | CA
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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 | 45844
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License Number State | CA
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