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General NPI Number Information
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NPI Number | 1336718311
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Entity Type | Individual
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Provider Name | ALBERT DOWREY IV PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 4700 N 51ST AVE STE 1
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City | PHOENIX
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State | AZ
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Zip | 85031-1237
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Country | US
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Telephone | 623-846-1888
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Fax |
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Provider Business Mailing Address
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Address Line | 575 VFW PKWY
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-3620
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Country | US
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Telephone | 978-551-5095
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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 | S025054
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License Number State | AZ
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