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General NPI Number Information
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NPI Number | 1558979617
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Entity Type | Individual
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Provider Name | BONNIE SHIMKO RPH
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Gender | Female
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 2955 E CHANDLER HEIGHTS RD
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City | CHANDLER
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State | AZ
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Zip | 85249-3302
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Country | US
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Telephone | 480-895-8396
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Fax |
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Provider Business Mailing Address
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Address Line | 2955 E CHANDLER HEIGHTS RD
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City | CHANDLER
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State | AZ
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Zip | 85249-3302
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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 | 03226104
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License Number State | OH
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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 | PS41856
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License Number State | FL
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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 | SO24577
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License Number State | AZ
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