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General NPI Number Information
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NPI Number | 1699170167
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Entity Type | Individual
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Provider Name | MEGAN E MARKS
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Gender | Female
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 01/28/2023
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Provider Practice Location Address
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Address Line | 4514 E MAZATZAL DR
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City | CAVE CREEK
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State | AZ
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Zip | 85331-2207
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Country | US
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Telephone | 571-401-5935
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Fax |
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Provider Business Mailing Address
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Address Line | 4514 E MAZATZAL DR
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City | CAVE CREEK
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State | AZ
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Zip | 85331-2207
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Country | US
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Telephone | 602-743-7022
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Fax | 602-743-7022
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | S021251
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License Number State | AZ
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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 | 19962
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License Number State | CO
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