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General NPI Number Information
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NPI Number | 1376468645
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Entity Type | Individual
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Provider Name | AMANDA MCDUFFIE PHILIBERT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 29148 S MONTPELIER RD
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City | ALBANY
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State | LA
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Zip | 70711-4320
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Country | US
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Telephone | 225-209-6003
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Fax |
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Provider Business Mailing Address
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Address Line | 42466 HAMILTON LN
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City | PONCHATOULA
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State | LA
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Zip | 70454-4244
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Country | US
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Telephone | 985-630-4787
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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 | PST.023148
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License Number State | LA
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