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General NPI Number Information
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NPI Number | 1528899341
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Entity Type | Individual
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Provider Name | MARGO GRAYBILL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2024
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 1101 CHESTNUT ST FL 9
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City | PHILADELPHIA
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State | PA
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Zip | 19107-3612
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Country | US
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Telephone | 215-503-1807
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Fax |
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Provider Business Mailing Address
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Address Line | 1527 OGDEN ST APT 2
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City | PHILADELPHIA
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State | PA
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Zip | 19130-2206
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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 | RP456769
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License Number State | PA
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