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General NPI Number Information
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NPI Number | 1720115918
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Entity Type | Individual
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Provider Name | CYNTHIA JUSTICE TRAMMELL R.PH
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 501 S COMMERCE ST
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City | GENEVA
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State | AL
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Zip | 36340-2420
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Country | US
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Telephone | 334-684-2272
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Fax |
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Provider Business Mailing Address
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Address Line | 1888 HIGHWAY 2
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City | WESTVILLE
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State | FL
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Zip | 32464-3024
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Country | US
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Telephone | 850-956-2208
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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 | 12213
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License Number State | AL
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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 | PS 26077
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PU 4367
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License Number State | FL
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