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General NPI Number Information
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NPI Number | 1962740639
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Entity Type | Individual
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Provider Name | EDWARD PATRICK CONWAY PHARMD,RPH
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Gender | Male
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Dates
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Enumeration Date | 01/30/2013
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 4720 E COTTON GIN LOOP STE 220
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City | PHOENIX
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State | AZ
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Zip | 85040-4823
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Country | US
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Telephone | 608-334-1558
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Fax |
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Provider Business Mailing Address
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Address Line | 4720 E COTTON GIN LOOP STE 220
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City | PHOENIX
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State | AZ
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Zip | 85040-4823
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Country | US
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Telephone | 608-334-1558
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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 | S020050
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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 | PH61012565
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH032634
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16782-40
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 68510
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0016548
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License Number State | OR
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Taxonomy #7
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051.303205
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 66552
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20420
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License Number State | NV
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