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NPI 1811069032

NPI 1811069032 : POV SENG PHARMD. : RICHMOND, CA

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General NPI Number Information
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    NPI Number           |    1811069032
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    Entity Type          |    Individual 
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    Provider Name        |    POV SENG PHARMD.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/14/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    901 NEVIN AVE 
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    City                 |    RICHMOND
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    State                |    CA
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    Zip                  |    94801-3143
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    Country              |    US
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    Telephone            |    510-307-3173
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    Fax                  |    510-307-3174
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Provider Business Mailing Address
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    Address Line         |    118 MARINA LAKES DR 
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    City                 |    RICHMOND
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    State                |    CA
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    Zip                  |    94804-7451
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    Country              |    US
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    Telephone            |    510-307-3173
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    Fax                  |    510-307-3174
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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       |    RPH57767
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    License Number State |    CA
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