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General NPI Number Information
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NPI Number | 1003990920
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Entity Type | Individual
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Provider Name | SCOTT HIDEYUKI TAKAHASHI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4700 W SUNSET BLVD DEPARTMENT OF PEDIATRICS
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City | LOS ANGELES
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State | CA
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Zip | 90027-6082
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Country | US
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Telephone | 323-783-1911
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Fax | 323-783-0950
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Provider Business Mailing Address
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Address Line | 4455 BOSTON AVE
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City | LA CRESCENTA
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State | CA
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Zip | 91214-2452
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Country | US
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Telephone | 818-248-4739
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Fax | 323-783-0950
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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 | 42737
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License Number State | CA
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