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General NPI Number Information
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NPI Number | 1578781696
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Entity Type | Individual
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Provider Name | DAVID RANSOM PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 02/22/2016
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Provider Practice Location Address
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Address Line | HOSPITAL RD/ OFF HIGHWAY 191 PO DRAWER PUBLIC HEALTH
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City | CHINLE
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State | AZ
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Zip | 86503
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Country | US
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Telephone | 928-674-7876
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Fax |
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Provider Business Mailing Address
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Address Line | PO DRAWER PUBLIC HEALTH
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City | CHINLE
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State | AZ
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Zip | 86503
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Country | US
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Telephone | 928-674-7876
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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 | PH00018265
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License Number State | WA
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