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General NPI Number Information
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NPI Number | 1003951146
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Entity Type | Individual
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Provider Name | RAYMOND TAILING POON PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 06/18/2013
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Provider Practice Location Address
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Address Line | 2331 E CESAR E CHAVEZ AVE
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City | LOS ANGELES
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State | CA
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Zip | 90033-1810
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Country | US
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Telephone | 323-260-7333
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Fax | 323-261-6782
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Provider Business Mailing Address
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Address Line | 626 GLORIA RD
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City | ARCADIA
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State | CA
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Zip | 91006-2123
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Country | US
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Telephone | 626-529-3311
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Fax | 626-325-3143
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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 | RPH27304
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License Number State | CA
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