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General NPI Number Information
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NPI Number | 1407684889
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Entity Type | Individual
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Provider Name | DUANE TERUYUKI KOMAKI PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 07/25/2024
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 38600 MEDICAL CENTER DR
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City | PALMDALE
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State | CA
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Zip | 93551-4483
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Country | US
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Telephone | 661-382-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1065 EAGLEMONT DR
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City | WHITTIER
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State | CA
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Zip | 90601-1220
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Country | US
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Telephone | 626-422-1518
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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 | 37069
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License Number State | CA
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