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General NPI Number Information
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NPI Number | 1669894077
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Entity Type | Individual
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Provider Name | LILY ANN RODGERS R.PH.
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Gender | Female
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Dates
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Enumeration Date | 01/21/2014
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Last Update Date | 01/21/2014
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Provider Practice Location Address
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Address Line | 5605 W NORTHERN AVE
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City | GLENDALE
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State | AZ
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Zip | 85301-1332
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Country | US
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Telephone | 623-934-7926
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Fax | 623-934-7929
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Provider Business Mailing Address
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Address Line | 29315 N 140TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-5505
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Country | US
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Telephone | 602-618-1616
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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 | 08277
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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 | 03994
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License Number State | NM
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