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General NPI Number Information
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NPI Number | 1912422064
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Entity Type | Individual
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Provider Name | ANGELA ANN MARSELLA PHARMD, MBA
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Gender | Female
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 116 N PAULINE ST
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City | MEMPHIS
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State | TN
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Zip | 38104-1005
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Country | US
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Telephone | 901-523-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 232 S YATES RD
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City | MEMPHIS
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State | TN
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Zip | 38120-2263
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Country | US
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Telephone | 334-447-8007
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 19076-40
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License Number State | WI
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