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General NPI Number Information
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NPI Number | 1942923180
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Entity Type | Individual
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Provider Name | MARCELI COIMBRA DE CIMA SILVA
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Gender | Female
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 910 DIABLO AVE
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City | NOVATO
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State | CA
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Zip | 94947-7311
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Country | US
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Telephone | 415-898-1905
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 LINCOLN VILLAGE CIR APT 2310
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City | LARKSPUR
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State | CA
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Zip | 94939-1672
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Country | US
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Telephone | 949-346-6243
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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 | 86122
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License Number State | CA
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