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General NPI Number Information
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NPI Number | 1982279592
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Entity Type | Individual
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Provider Name | PAMELA BRITTANY VICKERY PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 841 CASE ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-6503
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Country | US
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Telephone | 865-679-1785
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Fax |
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Provider Business Mailing Address
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Address Line | 841 CASE ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-6503
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Country | US
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Telephone | 828-697-8422
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 700282
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License Number State | NC
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