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General NPI Number Information
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NPI Number | 1205167749
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Entity Type | Individual
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Provider Name | CARISA NEWBIGGIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/22/2010
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Last Update Date | 01/22/2010
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Provider Practice Location Address
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Address Line | 8280 W LOWER BUCKEYE RD
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City | PHOENIX
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State | AZ
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Zip | 85043-7405
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Country | US
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Telephone | 623-936-6388
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Fax | 623-936-9034
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Provider Business Mailing Address
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Address Line | 8280 W LOWER BUCKEYE RD
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City | PHOENIX
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State | AZ
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Zip | 85043-7405
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Country | US
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Telephone | 623-936-6388
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Fax | 623-936-9034
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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 | S014879
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License Number State | AZ
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