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General NPI Number Information
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NPI Number | 1346814977
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Entity Type | Individual
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Provider Name | KATHRYN COLLINS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 11080 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-1937
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Country | US
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Telephone | 310-966-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 115 N CATALINA ST
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City | LOS ANGELES
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State | CA
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Zip | 90004-4601
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Country | US
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Telephone | 502-889-0841
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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 | 82725
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | RPH82725
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH82725
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License Number State | CA
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