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General NPI Number Information
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NPI Number | 1679901532
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Entity Type | Individual
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Provider Name | KIMBERLY LUICK PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 10/30/2013
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 5656 S POWER RD
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City | GILBERT
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State | AZ
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Zip | 85295-8487
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Country | US
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Telephone | 760-774-9123
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Fax |
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Provider Business Mailing Address
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Address Line | 2826 S POTTER DR STE B
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City | TEMPE
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State | AZ
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Zip | 85282-3144
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Country | US
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Telephone | 760-774-9123
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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 | 14471
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License Number State | AZ
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