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General NPI Number Information
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NPI Number | 1700519428
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Entity Type | Individual
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Provider Name | CAMILLE PARGO JONES PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2022
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Last Update Date | 07/09/2022
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Provider Practice Location Address
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Address Line | 6034 COUNTY ROAD 75
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City | CRUGER
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State | MS
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Zip | 38924-5546
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Country | US
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Telephone | 662-364-6167
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Fax | 662-200-5876
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Provider Business Mailing Address
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Address Line | 6034 COUNTY ROAD 75
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City | CRUGER
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State | MS
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Zip | 38924-5546
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Country | US
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Telephone | 662-364-6167
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Fax | 662-200-5876
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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 | 41958
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License Number State | TN
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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 | 14553
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License Number State | MS
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