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General NPI Number Information
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NPI Number | 1366954281
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Entity Type | Individual
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Provider Name | DIANA KRISTEN CHING PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 11/01/2017
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Provider Practice Location Address
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Address Line | 1601 W SYLVANIA AVE
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City | TOLEDO
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State | OH
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Zip | 43612-1532
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Country | US
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Telephone | 419-386-0546
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Fax |
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Provider Business Mailing Address
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Address Line | 1164 JULIET DR
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City | TOLEDO
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State | OH
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Zip | 43614-2238
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Country | US
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Telephone | 858-774-0937
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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 | 03237302-2
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License Number State | OH
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