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General NPI Number Information
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NPI Number | 1740415983
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Entity Type | Individual
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Provider Name | MARCELLA NICOLE HONKONEN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | UNIVERSITY OF ARIZONA PHARMACY PULIDO CTR 1295 N. MARTIN AVE
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City | TUCSON
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State | AZ
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Zip | 85721-0202
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Country | US
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Telephone | 520-626-0499
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Fax | 520-626-7355
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Provider Business Mailing Address
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Address Line | UNIVERSITY OF ARIZONA PHARMACY PULIDO CTR 1295 N. MARTIN AVE, P.O. BOX 210202
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City | TUCSON
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State | AZ
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Zip | 85721-0202
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Country | US
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Telephone | 520-626-0499
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Fax | 520-626-7355
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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 | S019171
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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 | RP0007311
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License Number State | WV
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