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General NPI Number Information
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NPI Number | 1437414588
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Entity Type | Individual
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Provider Name | PAMELA J NEELY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 501 6TH AVE S BOX 7300
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-4634
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Country | US
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Telephone | 727-767-4767
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Fax |
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Provider Business Mailing Address
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Address Line | 824 18TH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33704-4242
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Country | US
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Telephone | 727-550-1130
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PS35758
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License Number State | FL
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