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General NPI Number Information
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NPI Number | 1932752060
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Entity Type | Individual
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Provider Name | EUGENIA MAKRICOSTAS
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Gender | Female
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Dates
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Enumeration Date | 07/17/2019
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Last Update Date | 07/17/2019
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Provider Practice Location Address
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Address Line | 264 S HOLLYWOOD BLVD
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2422
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Country | US
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Telephone | 740-264-2893
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Fax |
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Provider Business Mailing Address
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Address Line | 241 LAKEVIEW DR
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City | WEIRTON
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State | WV
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Zip | 26062-9615
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Country | US
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Telephone | 304-670-6467
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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 | RP0011675
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License Number State | WV
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