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General NPI Number Information
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NPI Number | 1871893941
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Entity Type | Individual
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Provider Name | CYDNEY CAITLIN MARRS PHARM D
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Gender | Female
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Dates
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Enumeration Date | 10/23/2010
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Last Update Date | 10/23/2010
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Provider Practice Location Address
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Address Line | 1500 E CEDAR AVE
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-1641
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Country | US
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Telephone | 928-774-3750
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Fax | 928-774-2428
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Provider Business Mailing Address
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Address Line | 2435 S HIBISCUS LN
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-7220
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Country | US
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Telephone | 520-225-9425
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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 | S017926
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License Number State | AZ
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