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General NPI Number Information
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NPI Number | 1043594823
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Entity Type | Individual
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Provider Name | BRIAN HO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 1050 REDWOOD ST
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City | VALLEJO
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State | CA
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Zip | 94590-2955
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Country | US
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Telephone | 707-557-6948
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Fax |
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Provider Business Mailing Address
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Address Line | 293 CALLE LA MONTANA
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City | MORAGA
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State | CA
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Zip | 94556-1609
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Country | US
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Telephone | 925-890-4983
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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 | 66129
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License Number State | CA
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