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General NPI Number Information
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NPI Number | 1780374868
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Entity Type | Individual
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Provider Name | KATELYN BARRETT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 300 PULLMAN ST
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City | LIVERMORE
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State | CA
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Zip | 94551-9756
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Country | US
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Telephone | 925-243-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 111 N RENGSTORFF AVE APT 126
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043-4240
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Country | US
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Telephone | 775-229-5067
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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 | 87967
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PHA.0022802
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License Number State | CO
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