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General NPI Number Information
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NPI Number | 1053467043
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Entity Type | Individual
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Provider Name | HAROLD JAMES WASHINGTON JR. PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10600 S WESTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90047-4449
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Country | US
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Telephone | 323-754-3075
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Fax |
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Provider Business Mailing Address
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Address Line | 2928 W 76TH ST
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City | INGLEWOOD
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State | CA
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Zip | 90305-1005
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Country | US
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Telephone | 323-750-0535
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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 | 44424
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License Number State | CA
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