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General NPI Number Information
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NPI Number | 1598328148
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Entity Type | Individual
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Provider Name | KEVIN CHIAHUNG WHITE PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2019
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Last Update Date | 04/18/2019
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Provider Practice Location Address
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Address Line | 268 RESERVATION RD
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City | MARINA
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State | CA
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Zip | 93933-3178
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Country | US
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Telephone | 831-384-1605
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Fax | 831-384-9662
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Provider Business Mailing Address
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Address Line | 2155 CRUDEN BAY WAY
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City | GILROY
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State | CA
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Zip | 95020-3081
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Country | US
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Telephone | 714-864-6786
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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 | 79336
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License Number State | CA
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