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General NPI Number Information
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NPI Number | 1295863637
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Entity Type | Individual
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Provider Name | ANN MARIE BROPHY PHARM.D, RPH
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12320 N 83RD AVE
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City | PEORIA
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State | AZ
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Zip | 85381-4155
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Country | US
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Telephone | 623-979-1282
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Fax |
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Provider Business Mailing Address
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Address Line | 13352 W ALVARADO DR
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City | GOODYEAR
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State | AZ
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Zip | 85338-3126
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Country | US
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Telephone | 623-536-2354
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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 | 12174
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License Number State | AZ
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