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General NPI Number Information
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NPI Number | 1477477388
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Entity Type | Organization
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Legal Business Name | CANYON RIVER, LLC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 1328 W UNIVERSITY DR STE 103
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City | TEMPE
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State | AZ
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Zip | 85281-3390
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Country | US
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Telephone | 480-977-6622
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Fax | 877-708-1001
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Provider Business Mailing Address
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Address Line | 1328 W UNIVERSITY DR STE 103
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City | TEMPE
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State | AZ
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Zip | 85281-3390
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Country | US
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Telephone | 480-977-6622
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Fax | 877-708-1001
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Authorized Official
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Title or Position | SOLE DIRECTOR
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Name | AKSHAR PATEL
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Credential |
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Telephone | 480-977-6622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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