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General NPI Number Information
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NPI Number | 1891064564
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Entity Type | Individual
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Provider Name | CRYSTAL MARIE SATTLER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/23/2011
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 6637 HIGHWAY 10
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City | WASHINGTON
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State | LA
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Zip | 70589-4313
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Country | US
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Telephone | 337-623-9992
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Fax |
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Provider Business Mailing Address
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Address Line | 85 BEVERLY PKWY
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City | PENSACOLA
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State | FL
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Zip | 32505-2813
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Country | US
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Telephone | 850-432-2841
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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 | PS45186
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License Number State | FL
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