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General NPI Number Information
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NPI Number | 1003930595
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Entity Type | Individual
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Provider Name | MERLI MABEL REYES PHARMACY TECHNICIAN
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 815 N O CONNOR RD
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City | IRVING
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State | TX
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Zip | 75061-4510
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Country | US
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Telephone | 972-579-0511
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Fax |
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Provider Business Mailing Address
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Address Line | 3133 W NORTHGATE DR APT 1127
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City | IRVING
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State | TX
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Zip | 75062-3147
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Country | US
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Telephone | 214-608-7356
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 2801-0104-0357-365
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License Number State | TX
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