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General NPI Number Information
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NPI Number | 1245993963
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Entity Type | Individual
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Provider Name | TIFFANY HO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/19/2021
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Last Update Date | 10/19/2021
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Provider Practice Location Address
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Address Line | 250 N ROBERTSON BLVD STE 601
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1793
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Country | US
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Telephone | 310-248-6374
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Fax |
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Provider Business Mailing Address
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Address Line | 35 DEL CARLO
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City | IRVINE
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State | CA
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Zip | 92606-8808
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Country | US
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Telephone | 949-331-5912
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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 | 85449
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License Number State | CA
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