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General NPI Number Information
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NPI Number | 1245754704
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Entity Type | Individual
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Provider Name | FON HOKANSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2017
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 9300 CAMPUS POINT DR
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City | LA JOLLA
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State | CA
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Zip | 92037-1300
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Country | US
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Telephone | 858-249-1943
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Fax |
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Provider Business Mailing Address
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Address Line | 2327 BURGENER BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92110-1120
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Country | US
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Telephone | 858-245-9940
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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 | 65566
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 65566
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License Number State | CA
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