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General NPI Number Information
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NPI Number | 1942873302
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Entity Type | Individual
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Provider Name | CHASE C PICKERING PHARM.D., MBA, PMP
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Gender | Male
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Dates
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Enumeration Date | 07/22/2021
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Last Update Date | 07/22/2021
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Provider Practice Location Address
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Address Line | 2919 ALLISTER ST
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City | DALLAS
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State | TX
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Zip | 75229-2460
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Country | US
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Telephone | 646-320-1068
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Fax |
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Provider Business Mailing Address
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Address Line | 2919 ALLISTER ST
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City | DALLAS
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State | TX
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Zip | 75229-2460
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Country | US
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Telephone | 646-320-1068
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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 | 66527
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License Number State | TX
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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 | 22149
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License Number State | IA
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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 | 051295515
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License Number State | IL
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