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General NPI Number Information
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NPI Number | 1720620826
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Entity Type | Individual
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Provider Name | MACY SHIA-THOMAS PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 01/03/2022
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Provider Practice Location Address
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Address Line | 1800 HARRISON ST
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City | OAKLAND
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State | CA
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Zip | 94612-3466
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Country | US
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Telephone | 925-683-7893
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Fax |
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Provider Business Mailing Address
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Address Line | 58 CORTE MARIA
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City | MORAGA
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State | CA
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Zip | 94556-1857
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Country | US
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Telephone | 925-822-8041
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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 | 11633
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 46354
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License Number State | CA
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