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General NPI Number Information
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NPI Number | 1154138394
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Entity Type | Individual
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Provider Name | LYSANDRA OSPINO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 2940 W VALENCIA RD
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City | TUCSON
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State | AZ
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Zip | 85746-8035
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Country | US
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Telephone | 520-578-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 550 N HARRISON RD APT 17102
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City | TUCSON
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State | AZ
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Zip | 85748-4706
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Country | US
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Telephone | 267-974-6121
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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 | S027323
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License Number State | AZ
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