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General NPI Number Information
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NPI Number | 1730408675
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Entity Type | Individual
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Provider Name | TERRI A COLEMAN PHARM D
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Gender | Female
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 05/17/2010
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Provider Practice Location Address
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Address Line | 27 ORINDA WAY
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City | ORINDA
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State | CA
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Zip | 94563-2538
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Country | US
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Telephone | 925-253-1904
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Fax |
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Provider Business Mailing Address
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Address Line | 200 FAIRMOUNT AVE APT 318
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City | OAKLAND
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State | CA
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Zip | 94611-5811
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Country | US
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Telephone | 510-459-7629
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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 | 37942
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License Number State | CA
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