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General NPI Number Information
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NPI Number | 1316816978
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Entity Type | Individual
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Provider Name | GRANT CATES PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 3215 N NORTHHILLS BLVD
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4424
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Country | US
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Telephone | 479-463-6101
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Fax | 479-463-5360
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Provider Business Mailing Address
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Address Line | 633 N ROCKY XING
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-7045
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Country | US
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Telephone | 479-650-1720
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PD11866
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License Number State | AR
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