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General NPI Number Information
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NPI Number | 1033685128
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Entity Type | Individual
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Provider Name | MARY ABLES PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 2825 1ST AVE
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City | SPEARFISH
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State | SD
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Zip | 57783-3261
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Country | US
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Telephone | 605-642-3025
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Fax |
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Provider Business Mailing Address
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Address Line | 1037 ZIEBACH ST
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City | RAPID CITY
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State | SD
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Zip | 57703-0175
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Country | US
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Telephone | 256-679-7049
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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 | R6609
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License Number State | SD
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