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General NPI Number Information
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NPI Number | 1184835589
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Entity Type | Individual
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Provider Name | CYNTHIA ELLENE GARRIS PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ST, BERNARDS MEDIAL CENTER 225 EAST JACKSON
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City | JONESBORO
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State | AR
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Zip | 72401
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Country | US
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Telephone | 870-972-4187
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Fax |
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Provider Business Mailing Address
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Address Line | 711 MORNING VIEW DR
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City | JONESBORO
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State | AR
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Zip | 72404-8500
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Country | US
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Telephone | 870-972-4187
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Fax | 879-972-6897
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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 | 08547
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License Number State | AR
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