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General NPI Number Information
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NPI Number | 1003451600
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Entity Type | Individual
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Provider Name | REBECCA REEVE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | TSEHOOTSOOI MEDICAL CENTER CORNER OF INDIAN ROUTE 7 AND 12
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City | FORT DEFIANCE
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State | AZ
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Zip | 86504
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Country | US
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Telephone | 928-729-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1224
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City | FORT DEFIANCE
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State | AZ
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Zip | 86504-1224
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Country | US
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Telephone |
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 03337992
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License Number State | OH
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