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General NPI Number Information
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NPI Number | 1033264478
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Entity Type | Individual
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Provider Name | CARLOS EDWARD ORENDAIN PHARM BS
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Gender | Male
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 90 W 5TH ST
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City | DOUGLAS
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State | AZ
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Zip | 85607-2851
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Country | US
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Telephone | 520-364-7568
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Fax | 520-364-9053
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Provider Business Mailing Address
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Address Line | 9344 N EAGLESTONE LOOP
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City | TUCSON
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State | AZ
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Zip | 85742-9305
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Country | US
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Telephone | 520-744-7519
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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 | AZ8904
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License Number State | AZ
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