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General NPI Number Information
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NPI Number | 1831427665
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Entity Type | Individual
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Provider Name | SHOMICHAEL STEPHENS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/07/2009
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 204 MAIN ST
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City | LOGANSPORT
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State | LA
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Zip | 71049-2997
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Country | US
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Telephone | 318-697-4381
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Fax | 318-697-5311
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | LOGANSPORT
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State | LA
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Zip | 71049-0068
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Country | US
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Telephone | 318-697-4381
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Fax | 318-697-5311
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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 | 41142
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License Number State | TX
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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 | 18428
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License Number State | LA
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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 | 18428
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License Number State | LA
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