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General NPI Number Information
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NPI Number | 1457713026
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Entity Type | Individual
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Provider Name | KAREN VILLEGAS PHARM D
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Gender | Female
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 1115 S SUNSET AVE
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City | WEST COVINA
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State | CA
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Zip | 91790-3940
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Country | US
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Telephone | 626-814-2414
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Fax |
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Provider Business Mailing Address
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Address Line | 13066 BRIARWOOD ST
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City | CERRITOS
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State | CA
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Zip | 90703-7371
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Country | US
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Telephone | 562-544-7187
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 56318
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License Number State | CA
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