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General NPI Number Information
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NPI Number | 1427462233
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Entity Type | Individual
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Provider Name | DALGA DAVID SUROFCHY PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 09/28/2018
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Provider Practice Location Address
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Address Line | 9500 GILMAN DR
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City | LA JOLLA
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State | CA
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Zip | 92093-5004
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Country | US
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Telephone | 510-473-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 14637 TWIN PEAKS RD
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City | POWAY
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State | CA
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Zip | 92064-3122
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Country | US
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Telephone | 510-473-2323
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Fax | 325-200-0129
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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 | 99072
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License Number State | CA
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