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General NPI Number Information
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NPI Number | 1831702711
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Entity Type | Individual
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Provider Name | NEESHI SHAH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 7455 W CACTUS RD
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City | PEORIA
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State | AZ
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Zip | 85381-5399
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Country | US
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Telephone | 623-486-0441
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Fax |
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Provider Business Mailing Address
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Address Line | 7540 W MARCONI AVE
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City | PEORIA
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State | AZ
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Zip | 85382-1504
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | S024848
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License Number State | AZ
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