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General NPI Number Information
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NPI Number | 1831052695
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Entity Type | Individual
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Provider Name | JUSTIN SHINTANI PHARM D.
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Gender | Male
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 100 W CALIFORNIA BLVD
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City | PASADENA
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State | CA
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Zip | 91105-3010
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Country | US
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Telephone | 626-397-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 17806 OSAGE AVE
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City | TORRANCE
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State | CA
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Zip | 90504-3728
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Country | US
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Telephone |
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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 | 69098
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License Number State | CA
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