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General NPI Number Information
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NPI Number | 1144330655
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Entity Type | Individual
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Provider Name | DONNA MARIE GIVONE PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 820 S DAMEN AVE PHARMACY SERVICE (119)
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City | CHICAGO
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State | IL
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Zip | 60612-3728
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Country | US
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Telephone | 312-569-7936
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Fax | 312-569-8122
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Provider Business Mailing Address
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Address Line | 820 S DAMEN AVE PHARMACY SERVICE (119)
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City | CHICAGO
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State | IL
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Zip | 60612-3728
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Country | US
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Telephone | 312-569-7936
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Fax | 312-569-8122
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 046234
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 03-3-24279
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 009935
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 0202205225
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License Number State | VA
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