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General NPI Number Information
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NPI Number | 1154491181
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Entity Type | Individual
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Provider Name | MARSHA B WILLIS R.PH.
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2100 PRESTON ST RICHMOND STATE SCHOOL PHARMACY
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City | RICHMOND
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State | TX
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Zip | 77469-1419
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Country | US
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Telephone | 281-344-4601
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Fax | 281-344-4600
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Provider Business Mailing Address
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Address Line | 22802 QUIET LAKE CT
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City | KATY
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State | TX
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Zip | 77450-5736
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Country | US
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Telephone | 281-395-8242
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Fax | 281-344-4600
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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 | 21294
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License Number State | TX
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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 | 7481
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License Number State | AL
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