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General NPI Number Information
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NPI Number | 1205181500
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Entity Type | Individual
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Provider Name | CHERYL ANNE MALONE PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 9830 W LOWER BUCKEYE RD
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City | TOLLESON
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State | AZ
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Zip | 85353-1401
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Country | US
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Telephone | 623-687-2137
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Fax | 623-696-3807
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Provider Business Mailing Address
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Address Line | 9830 W LOWER BUCKEYE RD
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City | TOLLESON
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State | AZ
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Zip | 85353-1401
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Country | US
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Telephone | 623-687-2137
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Fax | 623-696-3807
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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 | 13768
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License Number State | SC
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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 | S021026
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License Number State | AZ
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