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General NPI Number Information
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NPI Number | 1902531999
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Entity Type | Individual
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Provider Name | KIANA SUZANNE LUJAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2022
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 15990 N GREENWAY HAYDEN LOOP STE D100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2269
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Country | US
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Telephone | 877-662-6633
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Fax |
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Provider Business Mailing Address
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Address Line | 4111 N 24TH ST
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City | PHOENIX
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State | AZ
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Zip | 85016-6222
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Country | US
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Telephone | 602-381-0696
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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 | S025878
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License Number State | AZ
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