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General NPI Number Information
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NPI Number | 1891678231
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Entity Type | Individual
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Provider Name | PAMELA ROSE MCCOY
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 15025 N THOMPSON PEAK PKWY
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2863
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Country | US
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Telephone | 480-551-6429
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Fax | 480-551-7073
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Provider Business Mailing Address
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Address Line | 15628 N 22ND ST
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City | PHOENIX
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State | AZ
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Zip | 85022-3413
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Country | US
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Telephone | 740-624-3190
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | TR02887
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License Number State | AZ
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