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General NPI Number Information
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NPI Number | 1639179344
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Entity Type | Individual
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Provider Name | DOMENICA ARROYO OBERHOLTZER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3001 DOUGLAS BLVD
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City | ROSEVILLE
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State | CA
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Zip | 95661-3851
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Country | US
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Telephone | 916-773-7227
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Fax | 916-960-0342
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Provider Business Mailing Address
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Address Line | 3680 ANGELINA LN
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City | STOCKTON
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State | CA
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Zip | 95212-3137
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Country | US
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Telephone | 916-773-7227
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Fax | 916-960-0342
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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 | 55374
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License Number State | CA
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