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General NPI Number Information
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NPI Number | 1659091932
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Entity Type | Individual
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Provider Name | NATHANIEL JOSEPH MACATANGAY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 1 HOSPITAL DR # DC060.00
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City | COLUMBIA
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State | MO
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Zip | 65212-1000
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Country | US
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Telephone | 573-884-5011
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Fax | 573-884-6004
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL DR # DC060.00
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City | COLUMBIA
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State | MO
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Zip | 65212-1000
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Country | US
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Telephone | 573-884-5011
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Fax | 573-884-6004
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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 | 26029705A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2022024474
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License Number State | MO
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