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General NPI Number Information
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NPI Number | 1144690660
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Entity Type | Individual
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Provider Name | DILRAJ HUNDAL PHARM D
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Gender | Female
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Dates
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Enumeration Date | 09/26/2015
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 9831 CAMPO RD
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City | SPRING VALLEY
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State | CA
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Zip | 91977-1418
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Country | US
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Telephone | 619-461-9170
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 772
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City | IMPERIAL BEACH
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State | CA
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Zip | 91933-0772
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Country | US
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Telephone |
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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 | 73066
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License Number State | CA
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