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General NPI Number Information
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NPI Number | 1770031940
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Entity Type | Individual
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Provider Name | KAREN CHAM PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/16/2016
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 1800 HARRISON ST FL 13
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City | OAKLAND
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State | CA
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Zip | 94612
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Country | US
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Telephone | 510-625-3805
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Fax |
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Provider Business Mailing Address
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Address Line | 15188 SHINING STAR LN
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City | SAN LEANDRO
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State | CA
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Zip | 94579-1971
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Country | US
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Telephone | 510-512-8478
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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 | 19399
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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 | 75931
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License Number State | CA
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