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General NPI Number Information
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NPI Number | 1972398782
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Entity Type | Individual
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Provider Name | KAOWTHER FOUANI
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Gender | Female
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 4100 E BROADWAY RD STE 100
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City | PHOENIX
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State | AZ
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Zip | 85040-8843
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Country | US
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Telephone | 602-438-9301
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Fax |
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Provider Business Mailing Address
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Address Line | 270 S PINEVIEW PL
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City | CHANDLER
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State | AZ
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Zip | 85226-8637
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Country | US
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Telephone | 313-638-0893
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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 | 5302413789
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License Number State | MI
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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 | S027324
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License Number State | AZ
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