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NPI 1912063421

NPI 1912063421 : JAMES H CHASE R.PH. : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1912063421
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES H CHASE R.PH.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/29/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    4724 N 20TH ST. 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85016-4704
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    Country              |    US
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    Telephone            |    602-263-0771
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    Fax                  |    602-263-0795
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Provider Business Mailing Address
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    Address Line         |    9710 E CLINTON ST 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-6212
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    Country              |    US
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    Telephone            |    480-614-0643
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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       |    9995
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    4952
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    License Number State |    CT
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