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General NPI Number Information
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NPI Number | 1144881004
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Entity Type | Individual
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Provider Name | KIROLOS ANDRAWOS
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Gender | Male
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Dates
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Enumeration Date | 06/21/2019
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 1009 W SAN BERNARDINO RD
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City | COVINA
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State | CA
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Zip | 91722-4106
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Country | US
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Telephone | 626-209-8160
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Fax |
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Provider Business Mailing Address
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Address Line | 635 S ELWOOD AVE #213
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City | GLENDORA
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State | CA
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Zip | 91740
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Country | US
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Telephone | 626-383-5711
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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 | APH10483
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License Number State | CA
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