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General NPI Number Information
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NPI Number | 1639980972
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Entity Type | Individual
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Provider Name | PAIGE ENCINAS
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Gender | Female
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | PO BOX 548
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City | SELLS
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State | AZ
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Zip | 85634-0548
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Country | US
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Telephone | 520-383-7330
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Fax |
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Provider Business Mailing Address
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Address Line | 11997 W RODEO TRL
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City | MARANA
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State | AZ
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Zip | 85653-1336
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S027274
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License Number State | AZ
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