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General NPI Number Information
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NPI Number | 1285978684
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Entity Type | Individual
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Provider Name | MARY G EAKER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 08/25/2013
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Provider Practice Location Address
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Address Line | 1530 N LIMESTONE ST
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City | GAFFNEY
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State | SC
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Zip | 29340-4742
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Country | US
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Telephone | 864-206-6298
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 N LIMESTONE ST
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City | GAFFNEY
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State | SC
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Zip | 29340-4742
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 11928
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 20542
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202212507
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License Number State | VA
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