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General NPI Number Information
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NPI Number | 1952712218
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Entity Type | Individual
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Provider Name | TILA SINGHANATH PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2014
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Last Update Date | 03/31/2024
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Provider Practice Location Address
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Address Line | 1400 MAIN ST
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City | CONWAY
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State | SC
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Zip | 29526-3567
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Country | US
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Telephone | 833-232-2063
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 MAIN ST
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City | CONWAY
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State | SC
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Zip | 29526-3567
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Country | US
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Telephone | 833-232-2063
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5302038107
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License Number State | MI
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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 | 44208
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License Number State | SC
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