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General NPI Number Information
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NPI Number | 1942515978
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Entity Type | Individual
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Provider Name | ANNIE KYGER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2010
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Last Update Date | 08/14/2010
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Provider Practice Location Address
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Address Line | 975 E OCOTILLO RD
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City | CHANDLER
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State | AZ
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Zip | 85249-3013
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Country | US
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Telephone | 480-214-1367
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Fax |
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Provider Business Mailing Address
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Address Line | 647 W BASELINE RD 1018
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City | TEMPE
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State | AZ
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Zip | 85283-5058
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Country | US
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Telephone | 812-709-0158
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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 | S017554
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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 | 26022850A
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License Number State | IN
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