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General NPI Number Information
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NPI Number | 1487965554
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Entity Type | Individual
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Provider Name | ROBIN SCOTT KRAGEN PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 5409 SUNRISE BLVD
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-7806
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Country | US
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Telephone | 916-961-2064
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Fax | 916-961-4773
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Provider Business Mailing Address
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Address Line | 5409 SUNRISE BLVD
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-7806
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Country | US
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Telephone | 916-961-2064
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Fax | 916-961-4773
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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 | RPH30294
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License Number State | CA
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