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General NPI Number Information
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NPI Number | 1679020994
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Entity Type | Individual
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Provider Name | TESSA JIMENEZ PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/02/2016
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | VA HEALTHCARE SYSTEM, UNIVERSITY DRIVE C
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City | PITTSBURGH
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State | PA
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Zip | 15240
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Country | US
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Telephone | 412-360-1035
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Fax |
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Provider Business Mailing Address
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Address Line | 417 SKYLARK DR
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City | MOON TOWNSHIP
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State | PA
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Zip | 15108-8945
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Country | US
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Telephone |
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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 | RP0009729
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License Number State | WV
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