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General NPI Number Information
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NPI Number | 1376753079
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Entity Type | Individual
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Provider Name | JANET AMPARO BALBUTIN PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6240 CLARK ROAD STE.B
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City | PARADISE
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State | CA
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Zip | 95969
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Country | US
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Telephone | 530-877-4981
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Fax | 530-877-1048
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Provider Business Mailing Address
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Address Line | 436 W.SHASTA AVENUE
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City | CHICO
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State | CA
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Zip | 95926
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Country | US
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Telephone | 530-893-8962
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Fax | 530-877-1048
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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 | 025833
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License Number State | CA
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