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General NPI Number Information
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NPI Number | 1598177701
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Entity Type | Organization
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Legal Business Name | CVS/CAREMARK
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 4742 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85018-5440
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Country | US
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Telephone | 602-840-6500
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Fax | 602-840-9522
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Provider Business Mailing Address
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Address Line | 4742 E INDIAN SCHOOL RD
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City | PHOENIX
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State | AZ
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Zip | 85018-5440
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Country | US
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Telephone | 602-840-6500
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Fax | 602-840-9522
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. DONG V TRAN
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Credential | PHARM.D.
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Telephone | 602-840-6500
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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 |
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License Number State |
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