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General NPI Number Information
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NPI Number | 1518508670
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Entity Type | Individual
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Provider Name | IVER O'NEAL VANDIVER II PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/30/2019
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 8585 PICARDY AVE
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City | BATON ROUGE
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State | LA
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Zip | 70809-3748
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Country | US
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Telephone | 225-763-4085
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Fax | 225-763-4084
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Provider Business Mailing Address
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Address Line | 8585 PICARDY AVE
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City | BATON ROUGE
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State | LA
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Zip | 70809-3748
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Country | US
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Telephone | 225-763-4085
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Fax | 225-763-4084
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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 | PHA.0023070
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 022438
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 29465
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17304
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302414359
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PST.023832
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License Number State | LA
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Taxonomy #7
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 067500
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0018671
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License Number State | OR
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Taxonomy #9
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23672
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License Number State | NV
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Taxonomy #10
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 42991
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License Number State | TN
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Taxonomy #11
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E-14979
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License Number State | MS
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Taxonomy #12
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 62272
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License Number State | TX
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Taxonomy #13
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 21056
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License Number State | AL
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Taxonomy #14
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS60564
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License Number State | FL
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