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General NPI Number Information
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NPI Number | 1497807945
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Entity Type | Organization
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Legal Business Name | JEFFREY K. SHINODA, PHARM.D., INC.
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6121 N THESTA ST STE 204
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City | FRESNO
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State | CA
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Zip | 93710-5294
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Country | US
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Telephone | 559-435-2425
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Fax | 559-438-4372
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Provider Business Mailing Address
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Address Line | 6121 N THESTA ST STE 204
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City | FRESNO
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State | CA
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Zip | 93710-5294
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Country | US
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Telephone | 559-435-2425
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Fax | 559-438-4372
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFF K SHINODA
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Credential | PHARM.D.
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Telephone | 559-435-2425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | RPH41852
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License Number State | CA
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