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General NPI Number Information
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NPI Number | 1194237578
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Entity Type | Individual
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Provider Name | MARVIR CALIGUIA RPH
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Gender | Female
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 10/25/2017
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Provider Practice Location Address
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Address Line | 736 ROUTE 4 STE 104
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City | SINAJANA
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State | GU
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Zip | 96910-3368
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Country | US
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Telephone | 671-472-4780
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Fax | 671-472-4782
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Provider Business Mailing Address
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Address Line | 160 NIJOK AVE
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City | MANGILAO
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State | GU
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Zip | 96913-5728
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Country | US
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Telephone | 671-788-1226
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Fax |
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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 | PH-088
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License Number State | GU
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