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General NPI Number Information
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NPI Number | 1497831598
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Entity Type | Individual
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Provider Name | MARSHA MA LO PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 280 W MACARTHUR BLVD
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City | OAKLAND
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State | CA
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Zip | 94611-5642
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Country | US
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Telephone | 650-752-6468
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Fax | 650-752-9370
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Provider Business Mailing Address
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Address Line | 3601 TIMOR CT
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City | SAN BRUNO
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State | CA
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Zip | 94066-4584
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Country | US
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Telephone | 650-738-9388
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Fax | 650-738-9388
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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 | 49797
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License Number State | CA
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