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General NPI Number Information
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NPI Number | 1669936472
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Entity Type | Organization
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Legal Business Name | MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 5102 W CAMPBELL AVE
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City | PHOENIX
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State | AZ
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Zip | 85031-1703
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Country | US
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Telephone | 602-344-5011
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 E ROOSEVELT ST
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City | PHOENIX
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State | AZ
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Zip | 85008-4973
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Country | US
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Telephone | 602-344-1309
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | ANNA SOGARD
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Credential |
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Telephone | 602-344-5253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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