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General NPI Number Information
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NPI Number | 1568843134
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Entity Type | Individual
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Provider Name | VALERIE ECHOLS
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Gender | Female
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 746 W UNIVERSITY DR
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City | MESA
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State | AZ
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Zip | 85201-5613
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Country | US
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Telephone | 480-668-6350
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Fax |
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Provider Business Mailing Address
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Address Line | 2145 E SARATOGA ST
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City | GILBERT
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State | AZ
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Zip | 85296-2762
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Country | US
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Telephone | 602-705-5151
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S021571
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License Number State | AZ
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