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General NPI Number Information
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NPI Number | 1053688184
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Entity Type | Individual
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Provider Name | ATIPUL JAMES SRITHONGRUNG PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 9333 IMPERIAL HWY
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City | DOWNEY
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State | CA
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Zip | 90242-2812
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Country | US
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Telephone | 562-461-6064
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Fax |
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Provider Business Mailing Address
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Address Line | 2030 S BALDWIN AVE
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City | ARCADIA
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State | CA
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Zip | 91007-8155
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Country | US
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Telephone | 626-538-7570
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 66621
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License Number State | CA
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