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General NPI Number Information
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NPI Number | 1396101408
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Entity Type | Individual
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Provider Name | KAREN LYNNE EISENBIEGLER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | NAVAJO ROUTE 4 2 MILES EAST OF PINON
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City | PINON
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State | AZ
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Zip | 86510-0010
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Country | US
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Telephone | 928-725-9514
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Fax | 928-725-9542
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | PINON
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State | AZ
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Zip | 86510-0010
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Country | US
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Telephone | 928-725-9514
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Fax | 928-725-9542
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 033.0003831
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | S025610
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License Number State | AZ
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