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General NPI Number Information
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NPI Number | 1255985420
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Entity Type | Individual
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Provider Name | RICHARD PAPA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/26/2019
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Last Update Date | 07/26/2019
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Provider Practice Location Address
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Address Line | 9043 W OLIVE AVE
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City | PEORIA
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State | AZ
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Zip | 85345-7049
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Country | US
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Telephone | 623-979-1383
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Fax |
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Provider Business Mailing Address
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Address Line | 7180 W CLAREMONT ST
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City | GLENDALE
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State | AZ
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Zip | 85303-3905
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Country | US
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Telephone | 623-703-5253
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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 | S024046
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License Number State | AZ
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