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General NPI Number Information
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NPI Number | 1720428741
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Entity Type | Individual
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Provider Name | ASHLEY S TEIJELO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2013
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Last Update Date | 05/09/2019
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Provider Practice Location Address
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Address Line | 2420 FENTON ST STE 100
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City | CHULA VISTA
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State | CA
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Zip | 91914-3516
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Country | US
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Telephone | 619-498-6499
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Fax |
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Provider Business Mailing Address
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Address Line | 1238 PUTTY HILL AVE T-1142
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City | TOWSON
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State | MD
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Zip | 21286-5844
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Country | US
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Telephone | 410-823-4543
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 21616
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License Number State | MD
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