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General NPI Number Information
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NPI Number | 1528190550
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Entity Type | Organization
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Legal Business Name | SUN DRUG INC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/27/2009
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Provider Practice Location Address
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Address Line | 10810 E VIA LINDA
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-3909
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Country | US
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Telephone | 480-860-6866
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Fax | 480-860-6051
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Provider Business Mailing Address
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Address Line | 10810 E VIA LINDA
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-3909
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Country | US
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Telephone | 480-860-6866
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Fax | 480-860-6051
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Authorized Official
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Title or Position | PRES
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Name | STEVE WEBER
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Credential |
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Telephone | 480-860-6866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | Y001886
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License Number State | AZ
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