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General NPI Number Information
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NPI Number | 1467018614
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Entity Type | Individual
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Provider Name | JESSICA ROSE LANGTON RPH, PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 05/14/2019
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 2225 S PRICE RD
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City | CHANDLER
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State | AZ
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Zip | 85286-7201
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Country | US
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Telephone | 480-752-5647
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Fax |
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Provider Business Mailing Address
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Address Line | 2225 S PRICE RD
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City | CHANDLER
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State | AZ
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Zip | 85286-7201
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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 | PH100003020
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | P10062
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202216228
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 25253
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S023736
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License Number State | AZ
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