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General NPI Number Information
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NPI Number | 1447550512
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Entity Type | Individual
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Provider Name | TRACI R SUMMER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/23/2010
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Last Update Date | 11/17/2024
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Provider Practice Location Address
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Address Line | 9460 E GOLF LINKS RD
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City | TUCSON
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State | AZ
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Zip | 85730-1337
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Country | US
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Telephone | 520-296-4532
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Fax | 520-296-4725
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Provider Business Mailing Address
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Address Line | 286 E 7TH ST
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City | DOUGLAS
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State | AZ
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Zip | 85607-2868
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Country | US
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Telephone | 520-364-1358
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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 | S014310
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License Number State | AZ
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