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General NPI Number Information
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NPI Number | 1982328068
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Entity Type | Individual
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Provider Name | JACQUELINE MARIE MARKLE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 3112 VESTAL PKWY E
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City | VESTAL
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State | NY
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Zip | 13850-2038
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Country | US
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Telephone | 607-729-6204
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Fax |
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Provider Business Mailing Address
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Address Line | 421 S JENSEN RD
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City | VESTAL
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State | NY
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Zip | 13850-3018
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Country | US
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Telephone | 607-427-1425
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 069709
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License Number State | NY
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