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General NPI Number Information
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NPI Number | 1700441607
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Entity Type | Individual
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Provider Name | RYANN BARDWELL PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 9029 HIGHWAY 6 STE 190
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4874
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Country | US
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Telephone | 281-915-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 935 CRESTMONT PLACE LOOP
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City | MISSOURI CITY
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State | TX
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Zip | 77489-1450
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Country | US
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Telephone | 708-595-1002
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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 | 0202217505
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License Number State | VA
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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 | 57083
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License Number State | TX
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