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General NPI Number Information
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NPI Number | 1821607094
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Entity Type | Individual
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Provider Name | LARRY JASON BREAKFIELD PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/23/2020
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Last Update Date | 09/27/2025
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Provider Practice Location Address
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Address Line | 1850 STATE ST
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City | NEW ALBANY
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State | IN
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Zip | 47150-4990
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Country | US
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Telephone | 812-948-7404
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Fax | 812-949-5479
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Provider Business Mailing Address
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Address Line | 1850 STATE ST
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City | NEW ALBANY
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State | IN
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Zip | 47150-4990
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Country | US
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Telephone | 812-948-7404
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Fax | 812-949-5479
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | P9498
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 44424
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PH61207541
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 26028850A
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License Number State | IN
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