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General NPI Number Information
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NPI Number | 1922396555
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Entity Type | Individual
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Provider Name | CAROLYN COBB PHARMD, BCPS
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Gender | Female
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Dates
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Enumeration Date | 07/18/2011
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 5000 W CHAMBERS ST RM 5210
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City | MILWAUKEE
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State | WI
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Zip | 53210-1650
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Country | US
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Telephone | 414-447-2551
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 W CHAMBERS ST RM 5210
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City | MILWAUKEE
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State | WI
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Zip | 53210-1650
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Country | US
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Telephone | 608-444-9246
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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 | 17314
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License Number State | WI
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