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General NPI Number Information
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NPI Number | 1609117381
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Entity Type | Individual
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Provider Name | CAROL MARIE GARRAND PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 1201 SE TECH CENTER DR SUITE 170
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City | VANCOUVER
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State | WA
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Zip | 98683-5512
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Country | US
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Telephone | 360-260-7156
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 NW 44TH ST
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City | VANCOUVER
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State | WA
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Zip | 98660-1618
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Country | US
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Telephone | 503-307-6185
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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 | PH00065772
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License Number State | WA
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