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General NPI Number Information
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NPI Number | 1447859657
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Entity Type | Individual
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Provider Name | TAMEKA MAIDEN
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Gender | Female
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 1905 EL MAR LN
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City | SEABROOK
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State | TX
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Zip | 77586-2832
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Country | US
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Telephone | 281-474-7666
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Fax |
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Provider Business Mailing Address
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Address Line | 4607 LUNSFORD HOLLOW LN
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-2522
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Country | US
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Telephone | 281-898-8938
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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 | 55994
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License Number State | TX
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