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General NPI Number Information
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NPI Number | 1215578208
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Entity Type | Individual
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Provider Name | DAVID FLINT
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Gender | Male
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 1120 W PIONEER BLVD
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City | MESQUITE
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State | NV
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Zip | 89027-8864
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Country | US
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Telephone | 702-346-0408
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Fax |
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Provider Business Mailing Address
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Address Line | 3318 E 3050 S
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City | ST GEORGE
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State | UT
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Zip | 84790-1696
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Country | US
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Telephone |
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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 | 12236265-8911
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License Number State | UT
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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 | 20868
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License Number State | NV
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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 | S024035
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License Number State | AZ
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