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General NPI Number Information
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NPI Number | 1659645596
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Entity Type | Individual
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Provider Name | JAMES DAVID WESTON PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2012
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 61535 S HWY 97
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City | BEND
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State | OR
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Zip | 97702-2154
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Country | US
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Telephone | 541-385-6658
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Fax |
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Provider Business Mailing Address
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Address Line | 61535 S HWY 97
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City | BEND
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State | OR
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Zip | 97702-2154
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Country | US
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Telephone | 541-385-6658
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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 | RPH-0012468
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License Number State | OR
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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 | S018186
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH-0012468
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License Number State | OR
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