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General NPI Number Information
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NPI Number | 1952829004
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Entity Type | Individual
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Provider Name | AMANDA JAMES PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 615 BATTLEGROUND DR
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City | IUKA
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State | MS
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Zip | 38852-1314
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Country | US
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Telephone | 662-489-3676
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Fax |
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Provider Business Mailing Address
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Address Line | 6 COUNTY ROAD 147
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City | TISHOMINGO
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State | MS
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Zip | 38873-9763
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Country | US
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Telephone | 662-760-3999
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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 | E-010243
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License Number State | MS
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