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General NPI Number Information
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NPI Number | 1427640622
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Entity Type | Individual
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Provider Name | AMANDA JAYNE GARZA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 3167 S STATE ROAD 3
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City | NEW CASTLE
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State | IN
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Zip | 47362-1318
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Country | US
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Telephone | 765-529-5997
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 N MAIN ST
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City | RUSHVILLE
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State | IN
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Zip | 46173-1198
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Country | US
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Telephone | 765-932-7497
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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 | 26025962A
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License Number State | IN
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