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General NPI Number Information
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NPI Number | 1851646806
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Entity Type | Individual
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Provider Name | PAMELA LA LONDE RPH
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Gender | Female
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 09/11/2012
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Provider Practice Location Address
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Address Line | 300 VINTAGE WAY (COSTCO PHARMACY #141)
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City | NOVATO
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State | CA
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Zip | 94945-5007
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Country | US
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Telephone | 415-899-1337
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 BRIDGEWAY #K-139
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City | SAUSALITO
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State | CA
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Zip | 94965-1408
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Country | US
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Telephone | 415-827-6511
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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 | 40191
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License Number State | CA
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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 | 09349
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License Number State | NV
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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 | 051.039282
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License Number State | IL
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