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General NPI Number Information
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NPI Number | 1649384207
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Entity Type | Individual
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Provider Name | RONALD REEVES PALMER R.PH.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 11/11/2014
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Provider Practice Location Address
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Address Line | 5777 E MAYO BLVD
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City | PHOENIX
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State | AZ
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Zip | 85054-4502
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Country | US
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Telephone | 480-342-2671
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Fax | 480-342-2888
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Provider Business Mailing Address
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Address Line | 5222 E ANDERSON DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5890
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Country | US
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Telephone | 602-342-2671
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Fax | 480-342-2888
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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 | 7193
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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 | 1-09983
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License Number State | KS
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