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General NPI Number Information
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NPI Number | 1730725839
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Entity Type | Individual
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Provider Name | RONALD MARK CURTIS RPH
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Gender | Male
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Dates
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Enumeration Date | 11/23/2019
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Last Update Date | 11/23/2019
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Provider Practice Location Address
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Address Line | 3395 S FEDERAL WAY
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City | BOISE
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State | ID
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Zip | 83705-5217
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Country | US
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Telephone | 208-319-1043
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Fax |
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Provider Business Mailing Address
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Address Line | 3395 S FEDERAL WAY
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City | BOISE
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State | ID
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Zip | 83705-5217
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Country | US
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Telephone | 208-319-1043
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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 | 03120916
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License Number State | OH
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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 | 009367
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License Number State | KY
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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 | PS59194
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License Number State | FL
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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 | P6040
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License Number State | ID
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