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General NPI Number Information
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NPI Number | 1043588171
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Entity Type | Individual
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Provider Name | AUSTIN LEE WAHLE PHARMD, RPH
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Gender | Male
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Dates
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Enumeration Date | 12/03/2011
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Last Update Date | 12/03/2011
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Provider Practice Location Address
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Address Line | 1532 N MAIN ST
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City | SALINAS
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State | CA
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Zip | 93906-5101
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Country | US
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Telephone | 831-443-8717
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Fax | 831-883-0413
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Provider Business Mailing Address
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Address Line | 24782 PERSEUS CT
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City | MISSION VIEJO
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State | CA
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Zip | 92691-4733
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Country | US
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Telephone | 831-443-8717
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Fax | 831-443-0413
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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 | 64073
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License Number State | CA
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