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General NPI Number Information
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NPI Number | 1225425648
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Entity Type | Individual
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Provider Name | CAROLYN SCHUSSMAN RPH
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Gender | Female
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 2501 S AVE B
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City | YUMA
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State | AZ
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Zip | 85364-7734
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Country | US
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Telephone | 928-317-6863
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Fax | 928-317-6869
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Provider Business Mailing Address
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Address Line | 39678 SW OAK LN
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City | WILLAMINA
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State | OR
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Zip | 97396-9607
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Country | US
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Telephone | 503-559-3002
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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 | S019526
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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 | RPH-0006608
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License Number State | OR
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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 | RPH32499
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License Number State | CA
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