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General NPI Number Information
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NPI Number | 1649326117
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Entity Type | Individual
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Provider Name | HELAL ETHRIDGE
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 29834 N. CAVE CREEK RD
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City | CAVE CREEK
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State | AZ
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Zip | 85331
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Country | US
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Telephone | 480-563-9395
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Fax | 480-563-9331
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Provider Business Mailing Address
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Address Line | 2025 W. WHISPER ROCK TRAIL
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City | PHOENIX
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State | AZ
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Zip | 85085
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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 | 13101
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License Number State | AZ
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