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General NPI Number Information
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NPI Number | 1770865149
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Entity Type | Individual
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Provider Name | DR. ARLENE MICHELLE WARYWODA
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Gender | Female
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Dates
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Enumeration Date | 09/12/2011
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Last Update Date | 09/12/2011
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Provider Practice Location Address
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Address Line | 100 CAVASINA DR
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City | CANONSBURG
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State | PA
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Zip | 15317-1767
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Country | US
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Telephone | 724-873-8790
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Fax | 724-873-8796
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Provider Business Mailing Address
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Address Line | 100 CAVASINA DR
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City | CANONSBURG
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State | PA
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Zip | 15317-1767
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Country | US
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Telephone | 724-873-8790
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Fax | 724-873-8796
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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 | RP443429
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License Number State | PA
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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 | 18652
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License Number State | NC
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