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General NPI Number Information
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NPI Number | 1295016301
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Entity Type | Individual
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Provider Name | SONNY ESPIRITU IGNACIO RPH
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Gender | Male
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 5055 TELEGRAPH AVE
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City | OAKLAND
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State | CA
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Zip | 94609-2040
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Country | US
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Telephone | 510-595-3605
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Fax | 510-595-3264
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Provider Business Mailing Address
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Address Line | 1018 FLOWERING ASH DR
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City | HERCULES
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State | CA
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Zip | 94547-2651
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Country | US
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Telephone | 510-965-5831
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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 | 60476
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License Number State | CA
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