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General NPI Number Information
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NPI Number | 1114423662
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Entity Type | Individual
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Provider Name | JOHN NATHAN OECHSNER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 1380 W ELLIOT RD
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City | TEMPE
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State | AZ
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Zip | 85284-1102
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Country | US
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Telephone | 480-345-8686
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Fax |
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Provider Business Mailing Address
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Address Line | 295 E ROOSEVELT ST APT 321
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City | PHOENIX
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State | AZ
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Zip | 85004-2095
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Country | US
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Telephone | 314-707-9071
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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 | 72282
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License Number State | CA
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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 | S022369
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License Number State | AZ
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