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General NPI Number Information
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NPI Number | 1720224561
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Entity Type | Individual
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Provider Name | TIMOTHY DANIEL MCCARTHY PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 12/29/2008
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Provider Practice Location Address
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Address Line | 1600 LOS GAMOS DR #275
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City | SAN RAFAEL
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State | CA
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Zip | 94903-1806
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Country | US
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Telephone | 415-492-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 416 NORFOLK DR #5
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City | PACIFICA
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State | CA
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Zip | 94044-2048
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Country | US
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Telephone | 916-955-6055
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Fax |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 40364
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License Number State | CA
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