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General NPI Number Information
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NPI Number | 1821334558
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Entity Type | Individual
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Provider Name | CAROLYN MALY PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 12/28/2012
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 4777 E GALBRAITH RD
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City | CINCINNATI
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State | OH
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Zip | 45236-2725
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Country | US
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Telephone | 513-979-2835
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Fax |
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Provider Business Mailing Address
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Address Line | 4004 LA CROSSE AVE
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City | CINCINNATI
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State | OH
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Zip | 45227-2733
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Country | US
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Telephone | 513-256-6601
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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 | 26023859A
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License Number State | IN
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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 | 03129513
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 014559
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License Number State | KY
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