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General NPI Number Information
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NPI Number | 1407053721
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Entity Type | Individual
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Provider Name | TAMIKA CREWS SLACK PHARM. D
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Gender | Female
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 9990 BELVEDERE RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-3518
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Country | US
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Telephone | 561-795-0135
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Fax |
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Provider Business Mailing Address
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Address Line | 10980 MERIDIAN DR S
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City | PARKLAND
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State | FL
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Zip | 33076-4609
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Country | US
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Telephone | 407-590-5120
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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 | PS34171
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License Number State | FL
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