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General NPI Number Information
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NPI Number | 1255717195
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Entity Type | Individual
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Provider Name | RICHARD CASEY KOWALSKI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 611 S KINGSLEY DR
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City | LOS ANGELES
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State | CA
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Zip | 90005-2319
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Country | US
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Telephone | 213-201-1437
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Fax | 213-201-1437
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Provider Business Mailing Address
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Address Line | 611 S KINGSLEY DR
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City | LOS ANGELES
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State | CA
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Zip | 90005-2319
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Country | US
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Telephone | 310-435-8892
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Fax | 213-201-1437
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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 | RPH72855
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License Number State | CA
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