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General NPI Number Information
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NPI Number | 1619197076
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Entity Type | Individual
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Provider Name | DEBORAH LYNN ELSE PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 01/06/2010
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Provider Practice Location Address
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Address Line | 503 E HANCOCK AVE ENVISION TELEPHARMACY
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City | ALPINE
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State | TX
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Zip | 79830-3219
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Country | US
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Telephone | 432-897-0754
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Fax |
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Provider Business Mailing Address
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Address Line | 141 FAIRWOOD DR
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City | GEORGETOWN
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State | TX
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Zip | 78628-1013
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Country | US
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Telephone | 360-223-1266
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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 | 46152
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License Number State | WA
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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 | 38109
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License Number State | TX
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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 | 26020109A
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License Number State | IN
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