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General NPI Number Information
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NPI Number | 1710247838
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Entity Type | Individual
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Provider Name | MS. ANNETTE MARSHALL
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Gender | Female
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 1050 REDWOOD ST
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City | VALLEJO
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State | CA
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Zip | 94590-2955
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Country | US
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Telephone | 707-557-6948
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Fax |
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Provider Business Mailing Address
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Address Line | 293 WHITMORE ST APT 11
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City | OAKLAND
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State | CA
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Zip | 94611-4686
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Country | US
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Telephone | 510-590-7440
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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 | 66838
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License Number State | CA
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