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General NPI Number Information
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NPI Number | 1578128856
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Entity Type | Individual
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Provider Name | JASON CHRISTOPHER DENT PHARMD, RPH
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Gender | Male
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 14502 W MEEKER BLVD
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-5282
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Country | US
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Telephone | 623-524-4070
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Fax |
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Provider Business Mailing Address
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Address Line | 15058 W CAMPBELL AVE
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City | GOODYEAR
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State | AZ
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Zip | 85395-6364
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Country | US
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Telephone | 623-293-1871
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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 | 1835C0205X
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Taxonomy Name | Critical Care Pharmacist
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License Number | S019341
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License Number State | AZ
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