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General NPI Number Information
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NPI Number | 1174602510
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Entity Type | Individual
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Provider Name | PHILLIP OTTO LUBINA PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 11/05/2006
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Last Update Date | 04/17/2016
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Provider Practice Location Address
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Address Line | 1951 HOLMES ST
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City | LIVERMORE
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State | CA
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Zip | 94550-6015
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Country | US
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Telephone | 925-447-7762
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Fax | 925-447-4375
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Provider Business Mailing Address
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Address Line | 5160 JUDSONVILLE DR
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City | ANTIOCH
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State | CA
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Zip | 94531-8501
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Country | US
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Telephone | 925-550-6412
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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 | 1945
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License Number State | HI
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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 | 9014
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License Number State | NV
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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 | 39554
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License Number State | CA
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