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General NPI Number Information
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NPI Number | 1689161994
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Entity Type | Individual
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Provider Name | SHAWN YAVARI PHARM D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 10769 N FRANK LLOYD WRIGHT BLVD STE A100
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-2670
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Country | US
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Telephone | 480-443-4656
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Fax |
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Provider Business Mailing Address
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Address Line | 9383 N 90TH STREET SUITE 102-240
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City | SCOTTSDALE
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State | AZ
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Zip | 85258
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Country | US
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Telephone |
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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 | S023184
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License Number State | AZ
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