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General NPI Number Information
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NPI Number | 1467184457
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Entity Type | Individual
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Provider Name | KATRINA AIVY VO PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 06/08/2024
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Provider Practice Location Address
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Address Line | 50 BEALE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-1813
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Country | US
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Telephone | 415-547-7818
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Fax |
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Provider Business Mailing Address
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Address Line | 7660 BEVERLY BLVD APT 438
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City | LOS ANGELES
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State | CA
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Zip | 90036-2754
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Country | US
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Telephone | 812-344-4490
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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 | 85949
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License Number State | CA
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