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General NPI Number Information
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NPI Number | 1639469273
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Entity Type | Individual
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Provider Name | ANGELA MARIE SLICK RPH
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Gender | Female
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Dates
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Enumeration Date | 04/16/2011
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Last Update Date | 04/16/2011
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Provider Practice Location Address
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Address Line | 14973 SOUTH AVE
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City | COLUMBIANA
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State | OH
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Zip | 44408-9429
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Country | US
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Telephone | 330-482-3854
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Fax |
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Provider Business Mailing Address
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Address Line | 509 BERKLEE DR
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City | YOUNGSTOWN
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State | OH
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Zip | 44514-3597
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Country | US
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Telephone | 330-953-1247
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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 | 03129911
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License Number State | OH
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