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General NPI Number Information
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NPI Number | 1306103171
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Entity Type | Individual
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Provider Name | CHESCA A PARGO PHARM D
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Gender | Female
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 8001 N LINCOLN AVE
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City | SKOKIE
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State | IL
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Zip | 60077
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Country | US
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Telephone | 800-553-7359
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Fax |
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Provider Business Mailing Address
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Address Line | 102 COMANCHE CIR
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City | ALABASTER
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State | AL
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Zip | 35007-9371
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Country | US
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Telephone | 205-410-4080
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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 | 14933
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License Number State | AL
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