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General NPI Number Information
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NPI Number | 1912877754
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Entity Type | Individual
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Provider Name | VIRIDIANNA LOPEZ RPH
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Gender | Female
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 12740 N PLAZA DEL RIO BLVD
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City | PEORIA
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State | AZ
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Zip | 85381-8100
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Country | US
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Telephone | 480-581-3354
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Fax |
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Provider Business Mailing Address
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Address Line | 10138 W WIER AVE
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City | TOLLESON
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State | AZ
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Zip | 85353-4432
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Country | US
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Telephone | 602-777-1317
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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 | S027763
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License Number State | AZ
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