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General NPI Number Information
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NPI Number | 1508909664
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Entity Type | Organization
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Legal Business Name | TULARE LOCAL HEALTH CARE DISTRICT
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 906 N CHERRY ST
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City | TULARE
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State | CA
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Zip | 93274-2210
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Country | US
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Telephone | 559-684-7979
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Fax | 559-684-1157
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Provider Business Mailing Address
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Address Line | 906 N CHERRY ST
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City | TULARE
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State | CA
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Zip | 93274-2210
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Country | US
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Telephone | 559-684-7979
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Fax | 559-684-1157
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Authorized Official
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Title or Position | INTERIM CEO
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Name | KEVIN SHIMAMOTO
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Credential | PHARMD
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Telephone | 559-688-0821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY46488
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License Number State | CA
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