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General NPI Number Information
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NPI Number | 1568865111
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Entity Type | Individual
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Provider Name | MEGAN POKORNY PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 09/26/2014
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Last Update Date | 04/28/2017
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Provider Practice Location Address
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Address Line | 2855 BROADWAY ST NE
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City | SALEM
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State | OR
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Zip | 97305
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Country | US
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Telephone | 503-585-7151
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Fax |
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Provider Business Mailing Address
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Address Line | 1562 WALLACE RD NW 133
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City | SALEM
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State | OR
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Zip | 97304-2678
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Country | US
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Telephone | 815-715-2106
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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 | 051297774
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 0014314
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0014314
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License Number State | OR
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