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General NPI Number Information
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NPI Number | 1689101958
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Entity Type | Individual
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Provider Name | ARIANA NOELLE FITZPATRICK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/17/2017
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1040 WEBBER ST
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City | THE DALLES
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State | OR
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Zip | 97058-3749
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Country | US
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Telephone | 541-296-4610
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Fax | 541-769-0772
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Provider Business Mailing Address
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Address Line | 102 PAHATU ST
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City | NORTH BONNEVILLE
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State | WA
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Zip | 98639-4635
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Country | US
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Telephone | 971-227-0956
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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-0015065
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License Number State | OR
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