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General NPI Number Information
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NPI Number | 1255056859
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Entity Type | Individual
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Provider Name | TAWNYA MARIE THURMAN CPHT
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Gender | Female
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 13940 W MEEKER BLVD
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-4492
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Country | US
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Telephone | 623-975-6221
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Fax | 623-975-6223
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Provider Business Mailing Address
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Address Line | 17904 W SANDALWOOD DR
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City | GOODYEAR
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State | AZ
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Zip | 85338-1599
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Country | US
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Telephone | 623-882-4470
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | T071020
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License Number State | AZ
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