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General NPI Number Information
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NPI Number | 1366846164
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Entity Type | Individual
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Provider Name | JULIA PATE PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 2080 CHILD ST DEPT 5000
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City | JACKSONVILLE
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State | FL
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Zip | 32214-2827
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Country | US
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Telephone | 904-542-7422
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Fax |
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Provider Business Mailing Address
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Address Line | 11219 ENGINEERING WAY
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City | JACKSONVILLE
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State | FL
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Zip | 32256-8194
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Country | US
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Telephone | 615-290-2183
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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 | PD12875
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License Number State | AR
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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 | E13680
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 38237
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License Number State | TN
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