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General NPI Number Information
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NPI Number | 1356782957
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Entity Type | Individual
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Provider Name | MICHAEL KING PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 10/12/2016
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Provider Practice Location Address
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Address Line | 3949 E CHANDLER BLVD
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City | PHOENIX
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State | AZ
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Zip | 85048-7335
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Country | US
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Telephone | 480-706-7340
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Fax |
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Provider Business Mailing Address
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Address Line | 2379 W COMSTOCK DR
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City | CHANDLER
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State | AZ
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Zip | 85224-1762
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Country | US
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Telephone | 845-532-4081
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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 | 055751
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S021886
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License Number State | AZ
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