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General NPI Number Information
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NPI Number | 1629705850
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Entity Type | Individual
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Provider Name | ANTHONY RENE ARIZPE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 11201 BENTON ST
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City | LOMA LINDA
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State | CA
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Zip | 92357-4118
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Country | US
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Telephone | 909-825-7084
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Fax |
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Provider Business Mailing Address
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Address Line | 835 ARIZPE RD
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City | CIBOLO
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State | TX
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Zip | 78108-4012
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Country | US
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Telephone |
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 70820
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License Number State | TX
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