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General NPI Number Information
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NPI Number | 1598875700
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Entity Type | Individual
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Provider Name | PAMELA DIANE SPAULDING R.PH.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/26/2010
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Provider Practice Location Address
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Address Line | 1223 S MAIN ST
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City | BOERNE
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State | TX
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Zip | 78006-2813
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Country | US
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Telephone | 830-249-9565
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Fax |
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Provider Business Mailing Address
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Address Line | 7710 SILVER SPUR TRL
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City | FAIR OAKS RANCH
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State | TX
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Zip | 78015-4117
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Country | US
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Telephone | 830-755-2423
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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 | PS36819
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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 | 051 037870
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License Number State | IL
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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 | 26017438A
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License Number State | IN
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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 | 47774
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License Number State | TX
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