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General NPI Number Information
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NPI Number | 1912623752
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Entity Type | Individual
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Provider Name | MARY CATHERINE PLATZ PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 401 MATTHEW ST
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City | MARIETTA
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State | OH
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Zip | 45750-1635
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Country | US
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Telephone | 740-434-0141
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Fax |
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Provider Business Mailing Address
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Address Line | 704 39TH ST
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City | VIENNA
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State | WV
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Zip | 26105-2532
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Country | US
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Telephone | 304-610-9193
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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 | RP0013360
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03442597
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License Number State | OH
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