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General NPI Number Information
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NPI Number | 1427737956
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Entity Type | Individual
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Provider Name | MARK CHRISTIAN MARANAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 1708 SOUTH YAKIMA AVE STE 20
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City | TACOMA
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State | WA
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Zip | 98405
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Country | US
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Telephone | 253-426-4727
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Fax |
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Provider Business Mailing Address
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Address Line | 102 N G ST UNIT 108
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City | TACOMA
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State | WA
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Zip | 98403-2259
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH61440055
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License Number State | WA
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