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NPI 1992025696

NPI 1992025696 : MARIANNE DU PLESSIS : VIRGINIA BEACH, VA

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General NPI Number Information
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    NPI Number           |    1992025696
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    Entity Type          |    Individual 
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    Provider Name        |    MARIANNE DU PLESSIS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/03/2010
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    Last Update Date     |    06/03/2010
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Provider Practice Location Address
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    Address Line         |    1340 N GREAT NECK RD 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23454-2268
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    Country              |    US
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    Telephone            |    757-481-5001
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    Fax                  |    757-481-4970
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Provider Business Mailing Address
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    Address Line         |    2340 TIERRA MONTE ARCH 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23456-6761
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    Country              |    US
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    Telephone            |    757-426-0388
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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       |    0202206411
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    License Number State |    VA
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