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General NPI Number Information
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NPI Number | 1427797513
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Entity Type | Individual
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Provider Name | BRETT LEIGH NORVELL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2022
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 4025 E THUNDERBIRD RD
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City | PHOENIX
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State | AZ
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Zip | 85032-5836
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Country | US
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Telephone | 602-953-1615
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Fax |
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Provider Business Mailing Address
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Address Line | 4315 E THUNDERBIRD RD APT 166
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City | PHOENIX
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State | AZ
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Zip | 85032-5859
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Country | US
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Telephone | 618-407-4196
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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 | S025548
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License Number State | AZ
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