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General NPI Number Information
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NPI Number | 1942319793
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Entity Type | Individual
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Provider Name | VALERIE JEAN LANG R.PH.
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10147 GRAND AVE B1
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City | SUN CITY
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State | AZ
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Zip | 85351-3435
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Country | US
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Telephone | 602-222-2630
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Fax | 602-222-2633
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Provider Business Mailing Address
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Address Line | 10147 GRAND AVE B1
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City | SUN CITY
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State | AZ
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Zip | 85351-3435
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Country | US
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Telephone | 602-222-2630
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Fax | 602-222-2633
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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 | 1125528
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License Number State | MN
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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 | 7855
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License Number State | AZ
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