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General NPI Number Information
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NPI Number | 1598821092
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Entity Type | Individual
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Provider Name | MARIA CONACI CHASE R.PH.
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7909 S HARDY DR SUITE 106
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City | TEMPE
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State | AZ
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Zip | 85284-1112
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Country | US
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Telephone | 800-955-1171
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Fax |
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Provider Business Mailing Address
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Address Line | 9710 E CLINTON ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6212
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Country | US
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Telephone | 480-614-0643
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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 | 9994
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5598
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License Number State | CT
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