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General NPI Number Information
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NPI Number | 1699590083
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Entity Type | Individual
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Provider Name | ROMARIC GILLES AWADJIHE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1100 WILFORD HALL LOOP
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City | SAN ANTONIO
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State | TX
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Zip | 78236-5638
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Country | US
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Telephone | 210-292-6145
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Fax |
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Provider Business Mailing Address
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Address Line | 1210 HUNT LN APT 14207
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4654
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Country | US
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Telephone | 870-403-1622
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | PST-024883
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License Number State | LA
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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 | PST.024883
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License Number State | LA
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