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General NPI Number Information
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NPI Number | 1548858442
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Entity Type | Individual
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Provider Name | CADY MATHEWS PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 01/06/2021
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 24 NW LOST SPRINGS TERR #36
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City | PORTLAND
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State | OR
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Zip | 97229
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Country | US
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Telephone | 866-281-8080
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Fax | 866-662-2635
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Provider Business Mailing Address
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Address Line | 240 NW LOST SPRINGS TER STE 36
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City | PORTLAND
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State | OR
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Zip | 97229-6571
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Country | US
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Telephone | 866-281-8080
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Fax | 866-662-2635
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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 | 0017835
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License Number State | OR
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