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General NPI Number Information
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NPI Number | 1427669068
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Entity Type | Individual
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Provider Name | ISABELLE MARY COONS RPH
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Gender | Female
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Dates
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Enumeration Date | 08/16/2020
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Last Update Date | 08/16/2020
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Provider Practice Location Address
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Address Line | 13000 INDIAN SCHOOL RD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87112-4803
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Country | US
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Telephone | 505-298-0413
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Fax |
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Provider Business Mailing Address
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Address Line | 5723 STRAND LOOP SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-9610
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Country | US
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Telephone | 505-412-8099
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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 | RP00009328
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License Number State | NM
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