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NPI 1629138912

NPI 1629138912 : STACY K ARMSTRONG R.PH. : PARIS, TX

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General NPI Number Information
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    NPI Number           |    1629138912
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    Entity Type          |    Individual 
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    Provider Name        |    STACY K ARMSTRONG R.PH.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/09/2006
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    Last Update Date     |    06/13/2009
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Provider Practice Location Address
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    Address Line         |    3550 NE LOOP 286 
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    City                 |    PARIS
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    State                |    TX
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    Zip                  |    75460-5004
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    Country              |    US
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    Telephone            |    903-785-0031
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    Fax                  |    903-737-8948
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Provider Business Mailing Address
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    Address Line         |    3550 NE LOOP 286 
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    City                 |    PARIS
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    State                |    TX
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    Zip                  |    75460-5004
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    Country              |    US
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    Telephone            |    903-785-0031
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    Fax                  |    832-601-6694
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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       |    33739
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    1835X0200X
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    Taxonomy Name        |    Oncology Pharmacist
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    License Number       |    33739
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    License Number State |    TX
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