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General NPI Number Information
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NPI Number | 1013415322
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Entity Type | Individual
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Provider Name | MALIKA ANDERSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 4616 N BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-1218
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Country | US
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Telephone | 215-329-4840
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Fax |
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Provider Business Mailing Address
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Address Line | 104 WHITETAIL PASS
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City | FRANKLINVILLE
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State | NJ
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Zip | 08322-4700
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Country | US
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Telephone | 215-906-3639
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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 | RP451534
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License Number State | PA
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