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General NPI Number Information
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NPI Number | 1588383905
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Entity Type | Individual
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Provider Name | CARINA ARUNY PHOUTHAKHIO PHARM D
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 3251 W SUNSET AVE
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City | SPRINGDALE
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State | AR
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Zip | 72762-4947
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Country | US
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Telephone | 479-756-1290
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Fax |
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Provider Business Mailing Address
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Address Line | 571 BROOKE ST
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City | TONTITOWN
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State | AR
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Zip | 72762-4382
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Country | US
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Telephone | 479-769-4779
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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 | PD16284
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License Number State | AR
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