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General NPI Number Information
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NPI Number | 1699243329
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Entity Type | Individual
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Provider Name | JOSEPH KING PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/12/2018
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Last Update Date | 11/12/2018
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Provider Practice Location Address
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Address Line | 4890 N LITCHFIELD RD
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-5015
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Country | US
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Telephone | 623-547-4799
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Fax | 623-536-5618
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Provider Business Mailing Address
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Address Line | 9450 W CABELA DR APT 2334
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City | GLENDALE
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State | AZ
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Zip | 85305-1314
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Country | US
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Telephone | 704-706-5806
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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 | S023610
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License Number State | AZ
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