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General NPI Number Information
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NPI Number | 1194291591
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Entity Type | Individual
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Provider Name | HENRY MARIN RPH
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Gender | Male
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Dates
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Enumeration Date | 10/23/2018
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Last Update Date | 10/23/2018
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Provider Practice Location Address
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Address Line | 4849 NE 138TH AVE
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City | PORTLAND
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State | OR
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Zip | 97230-3401
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Country | US
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Telephone | 503-257-3935
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Fax |
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Provider Business Mailing Address
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Address Line | 762 SE 7TH AVE
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City | HILLSBORO
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State | OR
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Zip | 97123-4517
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Country | US
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Telephone | 907-884-7127
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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 | 16828
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License Number State | OR
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