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General NPI Number Information
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NPI Number | 1407733173
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Entity Type | Individual
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Provider Name | SELIKA STACKHOUSE SAMPSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/16/2025
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 1381 CROSS CREEK CIR
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City | TALLAHASSEE
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State | FL
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Zip | 32301-3729
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Country | US
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Telephone | 850-877-6393
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 GROVELAND HILLS DR
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City | TALLAHASSEE
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State | FL
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Zip | 32317-8544
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Country | US
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Telephone | 850-339-2874
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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 | PS36281
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License Number State | FL
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Taxonomy #2
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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 | PU6146
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License Number State | FL
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