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General NPI Number Information
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NPI Number | 1861738809
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Entity Type | Individual
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Provider Name | ALAN GREGORY ESPIRITU PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2012
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Last Update Date | 12/19/2012
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Provider Practice Location Address
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Address Line | 4940 VAN NUYS BLVD SUITE 104
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1700
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Country | US
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Telephone | 866-209-7367
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Fax | 818-351-3087
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Provider Business Mailing Address
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Address Line | 1480 MIRA VALLE ST
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City | MONTEREY PARK
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State | CA
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Zip | 91754-5322
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Country | US
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Telephone | 626-429-9180
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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 | 48704
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License Number State | CA
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