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General NPI Number Information
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NPI Number | 1194846543
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Entity Type | Individual
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Provider Name | DANA KAY PELLEGRINO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 900 W ASH ST
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City | DEMING
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State | NM
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Zip | 88030-4000
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Country | US
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Telephone | 505-546-5850
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Fax | 505-543-6906
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Provider Business Mailing Address
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Address Line | 3210 N RIDGE CREST DR
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City | SILVER CITY
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State | NM
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Zip | 88061-7246
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Country | US
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Telephone | 505-534-0100
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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 | RP6192
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License Number State | NM
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