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General NPI Number Information
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NPI Number | 1376099317
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Entity Type | Individual
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Provider Name | RUSSELL JOHN OSTARELLO PHARM D
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Gender | Male
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 1273 SOUT MAIN STREET STAR PHARMACY AND GIFTS
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City | SALINAS
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State | CA
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Zip | 93901-4031
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Country | US
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Telephone | 831-621-5558
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Fax | 831-621-5579
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Provider Business Mailing Address
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Address Line | 505 E ROMIE LN STE H
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City | SALINAS
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State | CA
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Zip | 93901-4031
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Country | US
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Telephone | 831-424-0395
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Fax | 831-424-7949
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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 | RPH30356
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHY54665
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License Number State | CA
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