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General NPI Number Information
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NPI Number | 1063774743
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Entity Type | Individual
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Provider Name | CLARE ELAINE PHELAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2012
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Last Update Date | 06/08/2012
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Provider Practice Location Address
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Address Line | 1300 N VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90027-6005
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Country | US
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Telephone | 213-413-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 350 N CLYBOURN AVE
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City | BURBANK
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State | CA
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Zip | 91505-3701
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Country | US
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Telephone | 818-438-5090
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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 | 64904
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License Number State | CA
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