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General NPI Number Information
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NPI Number | 1730557216
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Entity Type | Individual
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Provider Name | CHRISTOPHER MWAI RPH
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Gender | Male
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Dates
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Enumeration Date | 09/14/2015
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Last Update Date | 09/29/2015
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Provider Practice Location Address
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Address Line | 1310 WILLOW CREEK RD
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City | PRESCOTT
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State | AZ
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Zip | 86301-1492
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Country | US
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Telephone | 928-227-9965
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 MARKET ST APT 1047
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-6512
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Country | US
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Telephone | 781-888-2118
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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 | S021614
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License Number State | AZ
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