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General NPI Number Information
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NPI Number | 1144674318
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Entity Type | Individual
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Provider Name | MARIELLEN WARVELL
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Gender | Female
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 04/14/2016
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Provider Practice Location Address
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Address Line | 3124 WILMINGTON RD
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City | NEW CASTLE
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State | PA
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Zip | 16105-1100
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Country | US
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Telephone | 724-657-2565
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Fax | 724-652-7148
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Provider Business Mailing Address
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Address Line | 3124 WILMINGTON RD
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City | NEW CASTLE
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State | PA
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Zip | 16105-1100
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Country | US
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Telephone | 724-657-2565
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Fax | 724-652-7148
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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 | RP440961
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License Number State | PA
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