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General NPI Number Information
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NPI Number | 1346919149
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Entity Type | Individual
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Provider Name | TERI KEZAR PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 09/07/2021
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Provider Practice Location Address
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Address Line | 10500 N MCCARRAN BLVD
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City | RENO
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State | NV
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Zip | 89503-1873
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Country | US
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Telephone | 775-746-5717
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Fax | 775-746-2308
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Provider Business Mailing Address
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Address Line | 4955 JACKRABBIT RD
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City | RENO
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State | NV
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Zip | 89510-9567
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Country | US
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Telephone | 775-750-0463
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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 | 13740
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License Number State | NV
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