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General NPI Number Information
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NPI Number | 1801710835
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Entity Type | Individual
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Provider Name | TARIQ PULSKAMP PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 1300 N MISSION RD
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City | LOS ANGELES
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State | CA
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Zip | 90033-1021
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Country | US
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Telephone | 323-409-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 3433 PASADENA AVE APT 131
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City | LOS ANGELES
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State | CA
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Zip | 90031-2690
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Country | US
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Telephone | 661-331-1174
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 92454
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License Number State | CA
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