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General NPI Number Information
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NPI Number | 1255772810
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Entity Type | Individual
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Provider Name | KITTY DENG PHARMD, BCPS
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Gender | Female
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 150 MUIR RD
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City | MARTINEZ
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State | CA
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Zip | 94553-4668
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Country | US
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Telephone | 510-918-3868
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 TROUSDALE DR
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City | BURLINGAME
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State | CA
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Zip | 94010-4506
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Country | US
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Telephone |
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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 | 051294445
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 67082
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License Number State | CA
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