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General NPI Number Information
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NPI Number | 1285631556
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Entity Type | Individual
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Provider Name | ALLEN SHEK PHARM.D., BCPS
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Gender | Male
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 500 WEST HOSPITAL RD SAN JOAQUIN GENERAL HOSPITAL, OUTPATIENT PHARMACY
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City | FRENCH CAMP
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State | CA
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Zip | 95231
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Country | US
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Telephone | 209-482-2670
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Fax | 209-461-2409
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Provider Business Mailing Address
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Address Line | TJL SCHOOL OF PHARMACY, 3601 PACIFIC AVE
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City | STOCKTON
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State | CA
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Zip | 95211-0001
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Country | US
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Telephone | 209-482-2670
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Fax | 209-461-2409
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RPH44887
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number |
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License Number State | IL
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