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General NPI Number Information
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NPI Number | 1831702877
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Entity Type | Individual
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Provider Name | D'MARCUS CARROLL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 1000 W FRANK AVE
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City | LUFKIN
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State | TX
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Zip | 75904-3301
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Country | US
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Telephone | 936-634-7083
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 W FRANK AVE
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City | LUFKIN
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State | TX
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Zip | 75904-3301
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Country | US
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Telephone | 318-805-6595
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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 | RPH031294
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License Number State | GA
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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 | 63942
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License Number State | TX
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