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General NPI Number Information
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NPI Number | 1346722014
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Entity Type | Individual
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Provider Name | TRAVONA CARLISLE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 1168 W BRANCH ST
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-1906
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Country | US
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Telephone | 805-474-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 324 CREEKVIEW WAY
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-3909
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Country | US
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Telephone | 609-674-1803
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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 | 72784
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License Number State | CA
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