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General NPI Number Information
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NPI Number | 1578658704
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Entity Type | Individual
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Provider Name | TIANN CAMPBELL EFFIONG PHARM.D., RPH
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 1623 FLATBUSH AVE
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City | BROOKLYN
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State | NY
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Zip | 11210-3262
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Country | US
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Telephone | 347-410-7686
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Fax | 347-269-1128
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Provider Business Mailing Address
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Address Line | 1623 FLATBUSH AVE LOCATED WITHIN CATHOLIC CHARITIES OF BROOKLYN & QUEENS
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City | BROOKLYN
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State | NY
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Zip | 11210-3262
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Country | US
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Telephone | 347-410-7686
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Fax | 347-269-1128
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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 | PS0039892
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License Number State | FL
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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 | I063847
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License Number State | NY
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