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General NPI Number Information
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NPI Number | 1639490394
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Entity Type | Individual
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Provider Name | FELY D LABABIT RPH
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Gender | Female
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 06/17/2010
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Provider Practice Location Address
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Address Line | 12900 PALM DR
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City | DESERT HOT SPRINGS
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State | CA
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Zip | 92240-4567
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Country | US
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Telephone | 760-251-3866
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Fax | 760-251-1567
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Provider Business Mailing Address
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Address Line | 69260 FAIRWAY DR
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City | DESERT HOT SPRINGS
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State | CA
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Zip | 92241-8241
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Country | US
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Telephone | 760-668-4188
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Fax | 760-251-1567
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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 | RPH 35047
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License Number State | CA
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