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General NPI Number Information
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NPI Number | 1336370584
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Entity Type | Individual
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Provider Name | MARY M FREBIES MCGARRY R.PH.
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Gender | Female
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 08/06/2009
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Provider Practice Location Address
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Address Line | 7416 BURLISON DR NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-3968
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Country | US
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Telephone | 508-823-4783
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Fax | 505-717-1852
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Provider Business Mailing Address
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Address Line | 7416 BURLISON DR. NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109
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Country | US
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Telephone | 505-822-8484
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Fax | 505-856-0045
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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 | RP 5799
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License Number State | NM
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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 | 7775
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License Number State | AZ
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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 | 051031410
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License Number State | IL
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