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General NPI Number Information
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NPI Number | 1336397801
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Entity Type | Individual
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Provider Name | CONNIE CECILE DUNN R.PH.
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Gender | Female
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 2900 E BARNETT RD STE 1
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City | MEDFORD
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State | OR
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Zip | 97504-8380
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Country | US
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Telephone | 541-789-5850
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Fax | 541-789-3904
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Provider Business Mailing Address
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Address Line | 1360 PLAZA BLVD
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City | CENTRAL POINT
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State | OR
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Zip | 97502-2669
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Country | US
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Telephone | 541-665-3766
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Fax | 541-665-3770
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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 | RPH-00009692
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License Number State | OR
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