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General NPI Number Information
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NPI Number | 1851767792
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Entity Type | Individual
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Provider Name | TINA HONG IBE
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Gender | Female
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 01/24/2018
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Provider Practice Location Address
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Address Line | 1245 W MAIN ST
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City | MESA
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State | AZ
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Zip | 85201-7018
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Country | US
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Telephone | 480-833-8838
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Fax |
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Provider Business Mailing Address
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Address Line | 500 S 99TH AVE
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City | TOLLESON
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State | AZ
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Zip | 85353-9700
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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 | S021475
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License Number State | AZ
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