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General NPI Number Information
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NPI Number | 1003289737
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Entity Type | Individual
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Provider Name | KRISTINE HSIA
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Gender | Female
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 5585 ROSEMEAD BLVD
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City | TEMPLE CITY
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State | CA
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Zip | 91780-1802
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Country | US
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Telephone | 626-287-9959
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Fax | 626-287-8381
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Provider Business Mailing Address
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Address Line | 5585 ROSEMEAD BLVD
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City | TEMPLE CITY
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State | CA
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Zip | 91780-1802
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Country | US
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Telephone | 626-287-9959
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Fax | 626-287-8381
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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 | 46039
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License Number State | CA
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