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General NPI Number Information
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NPI Number | 1801445655
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Entity Type | Individual
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Provider Name | KATHERINE TWEEDY-LI PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/04/2019
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 200 W ARBOR DR ATTN: INPATIENT PHARMACY
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City | SAN DIEGO
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State | CA
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Zip | 92103
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Country | US
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Telephone | 619-543-5924
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Fax |
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Provider Business Mailing Address
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Address Line | 235 MARKET ST UNIT 206
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City | SAN DIEGO
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State | CA
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Zip | 92101-6767
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Country | US
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Telephone | 704-453-8061
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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 | 0202211523
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License Number State | VA
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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 | 7358
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 64952
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License Number State | CA
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