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General NPI Number Information
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NPI Number | 1295275931
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Entity Type | Individual
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Provider Name | RICHARD DAMATO PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 5574 EVERGLADES ST UNIT A
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City | VENTURA
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State | CA
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Zip | 93003-6542
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Country | US
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Telephone | 805-642-0555
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Fax | 85-654-0434
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Provider Business Mailing Address
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Address Line | 5574 EVERGLADES ST UNIT A
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City | VENTURA
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State | CA
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Zip | 93003-6542
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Country | US
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Telephone | 805-642-0555
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Fax | 85-654-0434
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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 | 31963
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License Number State | CA
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