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General NPI Number Information
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NPI Number | 1770061327
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Entity Type | Individual
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Provider Name | DAVID ROSS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2018
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Last Update Date | 03/24/2021
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Provider Practice Location Address
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Address Line | 14441 W MCDOWELL RD STE B102
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City | GOODYEAR
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State | AZ
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Zip | 85395-2519
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Country | US
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Telephone | 480-516-8037
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Fax |
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Provider Business Mailing Address
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Address Line | 20044 N 68TH DR
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City | GLENDALE
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State | AZ
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Zip | 85308-5594
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Country | US
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Telephone | 480-559-5260
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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 | S023400
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License Number State | AZ
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