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General NPI Number Information
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NPI Number | 1578846648
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Entity Type | Individual
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Provider Name | HA C. DO PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2011
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Last Update Date | 09/23/2011
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Provider Practice Location Address
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Address Line | 27714 CLINTON KEITH RD
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City | MURRIETA
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State | CA
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Zip | 92562-8558
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Country | US
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Telephone | 951-672-1214
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Fax | 951-679-3750
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Provider Business Mailing Address
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Address Line | 35694 DAVID LN
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City | WILDOMAR
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State | CA
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Zip | 92595-7411
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Country | US
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Telephone | 714-876-8850
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 56259
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License Number State | CA
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