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General NPI Number Information
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NPI Number | 1336810894
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Entity Type | Individual
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Provider Name | BRYAN PAUL-ANTONY HERRERA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/24/2021
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 450 BROADWAY ST
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City | REDWOOD CITY
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State | CA
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Zip | 94063-3132
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Country | US
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Telephone | 650-498-5479
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Fax |
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Provider Business Mailing Address
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Address Line | 1227 48TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-1001
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Country | US
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Telephone | 909-646-2771
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 87583
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License Number State | CA
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