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General NPI Number Information
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NPI Number | 1134279144
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Entity Type | Individual
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Provider Name | LISA HOHENTHANER PHARM D
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 04/06/2018
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Provider Practice Location Address
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Address Line | 14137 LAKERIDGE COURT
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City | MAGALIA
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State | CA
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Zip | 95954
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Country | US
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Telephone | 530-873-0460
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Fax |
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Provider Business Mailing Address
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Address Line | 765 SECLUDED LN
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City | PARADISE
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State | CA
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Zip | 95969-3169
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Country | US
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Telephone | 530-228-2621
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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 | 63937
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 63937
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License Number State | CA
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Taxonomy #3
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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 | 63937
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License Number State | CA
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