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General NPI Number Information
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NPI Number | 1861802399
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Entity Type | Individual
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Provider Name | SHAWN EARL
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Gender | Male
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 05/06/2014
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Provider Practice Location Address
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Address Line | 8165 E ROVEY AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-5853
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Country | US
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Telephone | 616-890-4048
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Fax | 480-998-1812
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Provider Business Mailing Address
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Address Line | 6045 N SCOTTSDALE RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85250-5415
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Country | US
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Telephone | 480-998-1670
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Fax | 480-998-1812
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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 | S018317
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License Number State | AZ
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