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General NPI Number Information
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NPI Number | 1518783661
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Entity Type | Individual
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Provider Name | PAYAL BHOWMICK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 11500 BROOKSHIRE AVE
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City | DOWNEY
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State | CA
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Zip | 90241-4917
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Country | US
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Telephone | 562-904-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 1913 LOS ALAMITOS DR
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City | PLACENTIA
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State | CA
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Zip | 92870-5512
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Country | US
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Telephone | 858-382-6545
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 68113
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License Number State | CA
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