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General NPI Number Information
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NPI Number | 1205140738
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Entity Type | Individual
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Provider Name | JOSEPH FRANCIS MICHAELS III RX
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Gender | Male
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 405 W MAIN ST
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City | BRAWLEY
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State | CA
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Zip | 92227-2244
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Country | US
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Telephone | 760-344-5732
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Fax |
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Provider Business Mailing Address
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Address Line | 2979 CAMINO DEL RIO
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-7889
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Country | US
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Telephone | 928-444-4949
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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 | S012564
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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 | 61222
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License Number State | CA
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