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General NPI Number Information
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NPI Number | 1568871713
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Entity Type | Individual
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Provider Name | NICOLE KALIL
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Gender | Female
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 08/12/2014
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Provider Practice Location Address
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Address Line | 10653 N SCOTTSDALE RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5263
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Country | US
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Telephone | 480-998-4487
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Fax | 480-998-0290
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Provider Business Mailing Address
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Address Line | 6767 E GELDING DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-3494
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Country | US
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Telephone | 602-859-9196
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Fax | 480-998-0290
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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 | 013688
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License Number State | AZ
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