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General NPI Number Information
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NPI Number | 1801268511
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Entity Type | Individual
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Provider Name | FARIBORZ GHAFOORI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/21/2015
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 1212 S GREENFIELD RD
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City | MESA
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State | AZ
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Zip | 85206-2792
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Country | US
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Telephone | 559-916-4880
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Fax |
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Provider Business Mailing Address
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Address Line | 5120 E HAMPTON AVE APT 1181
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City | MESA
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State | AZ
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Zip | 85206-6603
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Country | US
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Telephone | 559-916-4880
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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 | S021451
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License Number State | AZ
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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 | RPH027529
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License Number State | GA
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