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General NPI Number Information
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NPI Number | 1740889922
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Entity Type | Individual
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Provider Name | ERNESTO DANIEL VIGIL PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 10/19/2021
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Provider Practice Location Address
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Address Line | 738 BANCROFT RD
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City | WALNUT CREEK
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State | CA
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Zip | 94598-1593
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Country | US
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Telephone | 925-938-8525
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Fax | 925-938-0646
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Provider Business Mailing Address
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Address Line | 738 BANCROFT RD
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City | WALNUT CREEK
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State | CA
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Zip | 94598-1593
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Country | US
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Telephone | 925-938-8525
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Fax | 925-938-0646
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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 | 84025
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License Number State | CA
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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 | S024983
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License Number State | AZ
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