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General NPI Number Information
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NPI Number | 1720702152
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Entity Type | Individual
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Provider Name | ANDREW RIM PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 07/27/2024
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Provider Practice Location Address
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Address Line | 8985 VENICE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90034-3344
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Country | US
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Telephone | 310-838-1049
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Fax | 310-838-2944
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Provider Business Mailing Address
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Address Line | 12539 SANDYCREEK LN
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City | CERRITOS
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State | CA
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Zip | 90703-2049
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Country | US
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Telephone |
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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 | 86905
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License Number State | CA
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