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General NPI Number Information
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NPI Number | 1124504220
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Entity Type | Individual
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Provider Name | DR. KARA L MARYANSKY
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Gender | Female
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 1431 W INNES ST
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City | SALISBURY
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State | NC
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Zip | 28144-2501
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Country | US
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Telephone | 800-633-3977
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Fax | 800-615-0075
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Provider Business Mailing Address
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Address Line | 1431 W INNES ST
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City | SALISBURY
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State | NC
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Zip | 28144-2501
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Country | US
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Telephone | 800-633-3977
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Fax | 800-615-0075
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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 | 41756
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202216648
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18312
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 37626
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License Number State | SC
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