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General NPI Number Information
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NPI Number | 1710430293
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Entity Type | Individual
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Provider Name | ANOIEL GEVERGIZIAN PHARMD.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2016
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Last Update Date | 08/03/2020
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Provider Practice Location Address
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Address Line | 2001 W CAMELBACK RD STE 290
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City | PHOENIX
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State | AZ
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Zip | 85015
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Country | US
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Telephone | 844-866-3730
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 W CAMELBACK RD STE 290
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City | PHOENIX
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State | AZ
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Zip | 85015-3466
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Country | US
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Telephone | 844-866-3730
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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-0016634
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302045832
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | A1-0005027
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17227
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 43970
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26139
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License Number State | MD
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Taxonomy #7
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 020121
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License Number State | KY
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Taxonomy #8
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S021985
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License Number State | AZ
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