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General NPI Number Information
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NPI Number | 1669923751
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Entity Type | Individual
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Provider Name | MARTINA ALEXANDER AKESON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/24/2016
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Last Update Date | 10/24/2016
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Provider Practice Location Address
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Address Line | 6348 NE HALSEY ST SUITE A
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City | PORTLAND
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State | OR
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Zip | 97213-4720
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Country | US
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Telephone | 503-962-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 6348 NE HALSEY ST SUITE A
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City | PORTLAND
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State | OR
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Zip | 97213-4720
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Country | US
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Telephone | 503-962-1700
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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 | RPH-0010451
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License Number State | OR
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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 | RP0009699
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License Number State | WV
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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 | 5302045065
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17106
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License Number State | OK
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