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General NPI Number Information
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NPI Number | 1790031888
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Entity Type | Individual
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Provider Name | OLGA P KURDELCHUK PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 07/26/2012
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 4315 W MCDOWELL RD
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City | PHOENIX
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State | AZ
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Zip | 85035-4201
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Country | US
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Telephone | 602-352-0078
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Fax | 602-484-7271
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Provider Business Mailing Address
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Address Line | 24250 N 23RD AVE APT #1155
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City | PHOENIX
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State | AZ
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Zip | 85085-1996
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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 | S018888
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License Number State | AZ
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