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General NPI Number Information
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NPI Number | 1518482819
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Entity Type | Individual
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Provider Name | MELEA HOPELYN CLARK PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 08/08/2017
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Provider Practice Location Address
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Address Line | 2180 W NINE MILE RD
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City | PENSACOLA
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State | FL
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Zip | 32534-9472
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Country | US
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Telephone | 850-473-5025
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Fax | 850-473-5031
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Provider Business Mailing Address
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Address Line | 5670 WINDSONG DR
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City | MILTON
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State | FL
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Zip | 32570-8303
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Country | US
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Telephone | 850-758-7851
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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 | PS56586
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License Number State | FL
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