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General NPI Number Information
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NPI Number | 1255631644
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Entity Type | Individual
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Provider Name | JEFF TERRY
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Gender | Male
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 14505 W GRAND AVE
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City | SURPRISE
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State | AZ
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Zip | 85374-4358
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Country | US
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Telephone | 623-975-4030
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Fax |
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Provider Business Mailing Address
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Address Line | 15164 N 140TH DR APT 1193
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City | SURPRISE
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State | AZ
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Zip | 85379-8574
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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 | 14980
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License Number State | AZ
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