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General NPI Number Information
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NPI Number | 1578864971
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Entity Type | Individual
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Provider Name | MATT P VESTAL RPH
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Gender | Male
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 637 W ROUTE 66
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City | WILLIAMS
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State | AZ
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Zip | 86046-2334
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Country | US
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Telephone | 928-635-5977
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Fax | 928-635-5984
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Provider Business Mailing Address
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Address Line | 637 W ROUTE 66
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City | WILLIAMS
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State | AZ
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Zip | 86046-2334
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Country | US
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Telephone | 928-635-5977
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Fax | 928-635-5984
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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 | AZ8648
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License Number State | AZ
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