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General NPI Number Information
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NPI Number | 1801438601
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Entity Type | Individual
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Provider Name | MELISSA RYMERS
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Gender | Female
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Dates
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Enumeration Date | 10/13/2019
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Last Update Date | 10/13/2019
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Provider Practice Location Address
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Address Line | 1435 E GRAND AVE
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-2423
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Country | US
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Telephone | 805-474-5702
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Fax |
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Provider Business Mailing Address
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Address Line | 1023 HENRY AVE APT J
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City | SANTA MARIA
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State | CA
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Zip | 93455-8405
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Country | US
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Telephone |
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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 | 80622
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License Number State | CA
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