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General NPI Number Information
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NPI Number | 1992121172
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Entity Type | Individual
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Provider Name | DEBORA LARABEE
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Gender | Female
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Dates
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Enumeration Date | 03/11/2014
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 20227 N 27TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85027-3242
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Country | US
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Telephone | 928-788-7222
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Fax |
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Provider Business Mailing Address
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Address Line | 524 W 4TH ST STE A
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City | PERRIS
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State | CA
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Zip | 92570-2016
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Country | US
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Telephone | 951-407-0707
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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 | S10154
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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 | 78347
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License Number State | CA
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