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General NPI Number Information
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NPI Number | 1730342155
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Entity Type | Individual
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Provider Name | RAYMOND MIRANDA DURO PHARM D
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Gender | Male
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 2375 EAST PRATER WAY SPARKS
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City | SPARKS
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State | NV
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Zip | 89434
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Country | US
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Telephone | 775-356-4070
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Fax |
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Provider Business Mailing Address
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Address Line | 7465 HUNTER GLEN DR
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City | RENO
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State | NV
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Zip | 89523-3830
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Country | US
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Telephone | 775-240-7602
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 17133
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License Number State | NV
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