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NPI 1477087948

NPI 1477087948 : THAD ARAKAKI PHARMD : CLOVIS, CA

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General NPI Number Information
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    NPI Number           |    1477087948
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    Entity Type          |    Individual 
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    Provider Name        |    THAD ARAKAKI PHARMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/12/2017
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    Last Update Date     |    03/17/2018
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Provider Practice Location Address
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    Address Line         |    1794 ASHLAN AVE 
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    City                 |    CLOVIS
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    State                |    CA
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    Zip                  |    93611-5190
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    Country              |    US
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    Telephone            |    559-294-6600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 25254 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93729-5254
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    Country              |    US
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    Telephone            |    
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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       |    70074
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    3641
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    License Number State |    HI
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