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General NPI Number Information
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NPI Number | 1508980111
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Entity Type | Individual
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Provider Name | CARA BETH PAUL PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1101 MYERS AVE
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City | DUNBAR
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State | WV
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Zip | 25064-3118
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Country | US
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Telephone | 304-768-1284
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Fax | 307-768-8321
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Provider Business Mailing Address
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Address Line | 332 MONTROSE DR
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25303-1924
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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 | 6918
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License Number State | WV
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