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General NPI Number Information
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NPI Number | 1184897878
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Entity Type | Individual
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Provider Name | DIANA MARGARET DEANDREA PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 1710 BARTON RD
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City | REDLANDS
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State | CA
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Zip | 92373-5304
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Country | US
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Telephone | 909-558-9225
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Fax | 909-558-9249
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Provider Business Mailing Address
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Address Line | 582 E PARKDALE DR
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-1766
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Country | US
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Telephone | 909-881-3778
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | RPH 35876
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License Number State | CA
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