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General NPI Number Information
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NPI Number | 1083855019
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Entity Type | Individual
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Provider Name | NEIL RICHARD HIRSCHORN R.PH.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2009
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Last Update Date | 03/21/2009
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Provider Practice Location Address
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Address Line | 3875 AVOCADO BLVD
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City | LA MESA
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State | CA
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Zip | 91941-7303
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Country | US
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Telephone | 619-670-2050
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Fax | 619-670-2119
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Provider Business Mailing Address
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Address Line | 11267 ALEJO LN
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City | SAN DIEGO
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State | CA
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Zip | 92124-1522
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Country | US
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Telephone | 858-627-9951
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Fax | 858-627-9941
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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 | RPH 38072
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 113402
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License Number State | MN
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