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General NPI Number Information
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NPI Number | 1720565393
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Entity Type | Individual
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Provider Name | DR. ANDREW T RAYER
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Gender | Male
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 525 W BROWN RD FL 7
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City | MESA
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State | AZ
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Zip | 85201-3202
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Country | US
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Telephone | 480-684-8350
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Fax |
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Provider Business Mailing Address
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Address Line | 10216 N 116TH LN
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City | YOUNGTOWN
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State | AZ
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Zip | 85363-1692
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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 | S020046
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License Number State | AZ
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