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General NPI Number Information
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NPI Number | 1033588306
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Entity Type | Individual
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Provider Name | CYDNEY MARSHALL
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Gender | Female
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 255 E 36TH STREET
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City | SOUTH OGDEN
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State | UT
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Zip | 84405
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Country | US
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Telephone | 801-689-1358
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Fax |
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Provider Business Mailing Address
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Address Line | 2075 E 7550 S APT A304
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City | SOUTH WEBER
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State | UT
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Zip | 84405-9528
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Country | US
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Telephone |
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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 | 6638220-1701
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License Number State | UT
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