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General NPI Number Information
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NPI Number | 1457651747
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Entity Type | Individual
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Provider Name | SOMPONG ANUNTA RPH
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Gender | Male
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 4200 CHINO HILLS PKWY
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City | CHINO HILLS
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State | CA
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Zip | 91709-3776
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Country | US
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Telephone | 909-548-2827
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Fax | 909-548-2897
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Provider Business Mailing Address
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Address Line | 2051 CALLE TOMAS
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City | SAN DIMAS
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State | CA
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Zip | 91773-3929
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Country | US
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Telephone | 909-592-3625
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Fax | 909-592-3625
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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 | RPH 32679
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License Number State | CA
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