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General NPI Number Information
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NPI Number | 1114643517
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Entity Type | Individual
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Provider Name | PHILIP MENDEZ RPH
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Gender | Male
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 04/07/2023
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Provider Practice Location Address
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Address Line | 8989 E VIA LINDA STE 110
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5407
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Country | US
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Telephone | 480-500-1235
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Fax | 480-500-6368
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Provider Business Mailing Address
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Address Line | 3557 E ROCKWOOD DR
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City | PHOENIX
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State | AZ
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Zip | 85050-3244
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Country | US
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Telephone | 623-738-5538
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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 | S11792
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License Number State | AZ
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