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General NPI Number Information
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NPI Number | 1427502970
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Entity Type | Individual
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Provider Name | CHUMA C DURU JR. PHARM D
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Gender | Male
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Dates
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Enumeration Date | 08/12/2016
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Last Update Date | 08/12/2016
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Provider Practice Location Address
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Address Line | 1411 KETTNER BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92101-2420
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Country | US
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Telephone | 619-231-7405
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Fax |
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Provider Business Mailing Address
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Address Line | 9805 JAKE LN #14202
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City | SAN DIEGO
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State | CA
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Zip | 92126-2994
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Country | US
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Telephone | 972-900-6539
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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 | 74524
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License Number State | CA
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