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General NPI Number Information
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NPI Number | 1144014507
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Entity Type | Individual
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Provider Name | MERISSA PEREA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 865 N ARIZOLA RD
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City | CASA GRANDE
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State | AZ
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Zip | 85122-6011
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Country | US
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Telephone | 520-381-0395
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Fax |
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Provider Business Mailing Address
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Address Line | 5151 S ARIZONA AVE APT 250
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City | CHANDLER
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State | AZ
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Zip | 85248-4630
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Country | US
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Telephone | 505-922-5374
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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 | S027163
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License Number State | AZ
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