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General NPI Number Information
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NPI Number | 1871881334
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Entity Type | Organization
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Legal Business Name | AARA RX LLC
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Dates
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Enumeration Date | 07/19/2011
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Last Update Date | 07/19/2011
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Provider Practice Location Address
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Address Line | 10599 N TATUM BLVD SUITE F150
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1053
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Country | US
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Telephone | 480-443-8400
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Fax | 480-443-8679
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Provider Business Mailing Address
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Address Line | 10599 N TATUM BLVD SUITE F150
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1053
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Country | US
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Telephone | 480-443-8400
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Fax | 480-443-8679
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ERIC ALAN PETERS
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Credential | M.D.
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Telephone | 480-443-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 24930
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License Number State | AZ
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