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General NPI Number Information
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NPI Number | 1003250184
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Entity Type | Individual
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Provider Name | TERESA COLLEEN OZMUN R.PH., D.PH.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2013
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Last Update Date | 04/19/2013
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Provider Practice Location Address
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Address Line | 1588 LIVINGSTON DR
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City | HENDERSON
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State | NV
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Zip | 89012-2406
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Country | US
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Telephone | 702-371-7168
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Fax |
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Provider Business Mailing Address
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Address Line | 1588 LIVINGSTON DR
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City | HENDERSON
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State | NV
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Zip | 89012-2406
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Country | US
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Telephone | 702-371-7168
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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 | 12208
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13682
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License Number State | NV
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