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General NPI Number Information
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NPI Number | 1598390437
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Entity Type | Individual
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Provider Name | ASHRAF ALFRED
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Gender | Male
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 10431 LEMON AVE STE G
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91737-3763
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Country | US
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Telephone | 909-493-1500
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Fax | 909-493-1501
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Provider Business Mailing Address
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Address Line | 12940 RILEY CT
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-8850
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Country | US
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Telephone | 909-227-0343
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Fax | 909-493-1501
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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 | 65176
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License Number State | CA
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