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General NPI Number Information
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NPI Number | 1174837603
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Entity Type | Individual
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Provider Name | CHRISTINE CHAU PHARM D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2010
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 2059 S. GAREY AVE
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City | POMONA
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State | CA
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Zip | 91766-6730
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Country | US
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Telephone | 909-613-1191
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Fax |
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Provider Business Mailing Address
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Address Line | 17076 COLIMA RD APT 316
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City | HACIENDA HTS
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State | CA
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Zip | 91745-6730
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Country | US
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Telephone | 626-736-9168
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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 | 55004
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License Number State | CA
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