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General NPI Number Information
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NPI Number | 1164768909
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Entity Type | Individual
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Provider Name | MAJID R SADEGHPOUR RPH, M.S.
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Gender | Male
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Dates
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Enumeration Date | 12/26/2012
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Last Update Date | 12/26/2012
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Provider Practice Location Address
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Address Line | 10555 N ORACLE RD
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City | ORO VALLEY
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State | AZ
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Zip | 85737-9353
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Country | US
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Telephone | 520-219-9862
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Fax |
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Provider Business Mailing Address
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Address Line | 2230 GEORGE C MARSHALL DR APT 1106
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City | FALLS CHURCH
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State | VA
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Zip | 22043-2583
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Country | US
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Telephone | 617-458-9193
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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 | S019590
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License Number State | AZ
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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 | 15070
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17473
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License Number State | MD
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