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General NPI Number Information
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NPI Number | 1851976799
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Entity Type | Individual
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Provider Name | IRYNA MIALIK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 03/12/2021
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Provider Practice Location Address
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Address Line | 1514 JEFFERSON HWY
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City | NEW ORLEANS
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State | LA
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Zip | 70121-2429
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Country | US
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Telephone | 186-662-4763
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 W NAPOLEON AVE APT B316
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City | METAIRIE
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State | LA
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Zip | 70001-8604
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | PST.023618
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License Number State | LA
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