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NPI 1396225520

NPI 1396225520 : ROBERT WAYNE HOWARD III PHARMD : LAS CRUCES, NM

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General NPI Number Information
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    NPI Number           |    1396225520
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT WAYNE HOWARD III PHARMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/16/2018
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    Last Update Date     |    08/16/2018
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Provider Practice Location Address
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    Address Line         |    1285 EL PASEO RD 
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    City                 |    LAS CRUCES
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    State                |    NM
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    Zip                  |    88001-6000
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    Country              |    US
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    Telephone            |    575-541-1264
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    Fax                  |    575-541-1292
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Provider Business Mailing Address
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    Address Line         |    435 ITHACA CT APT H3 
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    City                 |    LAS CRUCES
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    State                |    NM
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    Zip                  |    88011-7071
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    Country              |    US
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    Telephone            |    936-615-5050
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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       |    RP00008960
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    License Number State |    NM
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