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General NPI Number Information
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NPI Number | 1124146592
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Entity Type | Individual
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Provider Name | APICHAYA RAKTABUTR PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HB3 CLEVELAND CLINIC PHARMACY 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-445-2489
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Fax |
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Provider Business Mailing Address
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Address Line | 29296 HAWKES HILL RD
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City | EASTON
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State | MD
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Zip | 21601-8640
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Country | US
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Telephone | 410-924-0485
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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 |
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License Number State | IL
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