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General NPI Number Information
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NPI Number | 1891384764
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Entity Type | Individual
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Provider Name | MARIANNA JOY ENGLE RPH
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Gender | Female
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Dates
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Enumeration Date | 01/14/2021
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 14 E ALLEN ST
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City | CASTLE ROCK
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State | CO
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Zip | 80108-7840
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Country | US
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Telephone | 303-663-6858
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Fax |
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Provider Business Mailing Address
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Address Line | 16010 SAVORY CIR
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City | PARKER
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State | CO
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Zip | 80134-7724
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Country | US
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Telephone | 719-358-1505
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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 | 18971
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License Number State | CO
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