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General NPI Number Information
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NPI Number | 1710382387
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Entity Type | Individual
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Provider Name | KATHERINE PANG PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 1001 POTRERO AVE # 1P2
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3518
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Country | US
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Telephone | 415-206-8276
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Fax | 415-206-3504
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Provider Business Mailing Address
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Address Line | 1001 POTRERO AVE # 1P2
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3518
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Country | US
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Telephone | 415-206-8276
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Fax | 415-206-3504
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 58222
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | PH26392
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License Number State | MA
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