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General NPI Number Information
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NPI Number | 1255408472
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Entity Type | Individual
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Provider Name | MARGARET JOAN EXTON RPH
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1080 EMELINE AVENUE
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City | SANTA CRUZ
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State | CA
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Zip | 95060
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Country | US
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Telephone | 831-454-5452
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Fax | 831-454-4688
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Provider Business Mailing Address
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Address Line | 1080 EMELINE AVENUE ROOM 104
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City | SANTA CRUZ
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State | CA
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Zip | 95060
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Country | US
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Telephone | 831-454-4587
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Fax | 831-454-4893
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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 | RPH36099
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License Number State | CA
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