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General NPI Number Information
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NPI Number | 1821120023
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Entity Type | Individual
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Provider Name | JOYCE GABRIEL KAISHAR
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 501 E HARVARD ST
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City | GLENDALE
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State | CA
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Zip | 91205-1114
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Country | US
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Telephone | 818-621-9586
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Fax | 818-244-7700
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Provider Business Mailing Address
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Address Line | 2659 S BUENOS AIRES DR
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City | COVINA
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State | CA
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Zip | 91724-3917
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Country | US
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Telephone | 818-621-9586
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Fax | 818-244-7700
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 46098
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License Number State | CA
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