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General NPI Number Information
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NPI Number | 1366828329
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Entity Type | Individual
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Provider Name | ALYSSA TUROSE
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Gender | Female
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Dates
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Enumeration Date | 07/31/2015
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Last Update Date | 07/31/2015
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Provider Practice Location Address
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Address Line | 711 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85014-4620
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Country | US
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Telephone | 315-406-6645
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Fax |
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Provider Business Mailing Address
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Address Line | 815 N 52ND ST APT 2176
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City | PHOENIX
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State | AZ
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Zip | 85008-6776
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Country | US
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Telephone |
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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 | S021379
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License Number State | AZ
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