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General NPI Number Information
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NPI Number | 1518274596
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Entity Type | Individual
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Provider Name | BRIAN MIHALKA PHARM D
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Gender | Male
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Dates
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Enumeration Date | 09/11/2010
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Last Update Date | 09/11/2010
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Provider Practice Location Address
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Address Line | 1900 W VALENCIA RD
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City | TUCSON
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State | AZ
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Zip | 85746-6628
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Country | US
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Telephone | 520-807-2288
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Fax | 520-807-5361
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Provider Business Mailing Address
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Address Line | 1900 W VALENCIA RD
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City | TUCSON
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State | AZ
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Zip | 85746-6628
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Country | US
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Telephone | 520-807-2288
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Fax | 520-807-5361
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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 | S016490
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License Number State | AZ
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