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General NPI Number Information
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NPI Number | 1588972004
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Entity Type | Individual
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Provider Name | BETTINA J. ADAMS PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/17/2010
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 2885 TERRY RD
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City | JACKSON
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State | MS
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Zip | 39212-3051
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Country | US
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Telephone | 601-373-6783
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Fax | 601-371-9137
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Provider Business Mailing Address
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Address Line | 2885 TERRY RD
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City | JACKSON
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State | MS
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Zip | 39212-3051
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Country | US
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Telephone | 601-373-6783
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Fax | 601-371-9137
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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 | E-010131
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License Number State | MS
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