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General NPI Number Information
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NPI Number | 1669757209
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Entity Type | Individual
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Provider Name | KIRAN V ATWAL PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 1815 HERNDON AVE--WALGREENS
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City | CLOVIS
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State | CA
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Zip | 93611
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Country | US
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Telephone | 559-325-1324
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Fax | 559-325-1909
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Provider Business Mailing Address
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Address Line | 1815 HERNDON AVE WALGREENS PHARMACY
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City | CLOVIS
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State | CA
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Zip | 93611-6109
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Country | US
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Telephone | 559-325-1324
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Fax | 559-325-1909
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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 | 43298
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License Number State | CA
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