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General NPI Number Information
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NPI Number | 1447497011
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Entity Type | Individual
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Provider Name | PATRINA ELAINE MCCAULEY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/19/2009
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Last Update Date | 01/19/2009
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Provider Practice Location Address
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Address Line | 85 HIGH ST ROOM 185
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City | BUFFALO
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State | NY
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Zip | 14203-1149
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Country | US
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Telephone | 716-857-8771
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Fax |
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Provider Business Mailing Address
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Address Line | 6125 W 63RD AVE
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City | ARVADA
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State | CO
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Zip | 80003-5017
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Country | US
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Telephone | 720-810-3886
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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 | 053077
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License Number State | NY
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