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General NPI Number Information
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NPI Number | 1992259618
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Entity Type | Individual
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Provider Name | JOSEPH BRENDIN PELLERITO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 5085 N LA CANADA DR
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City | TUCSON
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State | AZ
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Zip | 85704-1508
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Country | US
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Telephone | 520-696-0346
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Fax |
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Provider Business Mailing Address
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Address Line | 145 N CAMINO MIRAMONTE
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City | TUCSON
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State | AZ
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Zip | 85716-4946
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Country | US
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Telephone | 520-891-6599
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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 | S022020
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License Number State | AZ
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