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General NPI Number Information
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NPI Number | 1518963453
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Entity Type | Individual
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Provider Name | VERONICA TOVAR BANDY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | THOMAS J LONG SCHOOL OF PHARMACY & HEALTH SCIENCES 751 BROOKSIDE ROAD
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City | STOCKTON
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State | CA
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Zip | 95211
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Country | US
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Telephone | 209-946-2363
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Fax | 209-946-2410
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Provider Business Mailing Address
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Address Line | 4978 TIMEPIECE CIR
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City | STOCKTON
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State | CA
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Zip | 95219-2042
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Country | US
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Telephone | 209-957-3946
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Fax | 209-957-3946
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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 | 51736
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License Number State | CA
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