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General NPI Number Information
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NPI Number | 1881691285
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Entity Type | Individual
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Provider Name | FRED R RALEIGH PHARM.D., BCPP
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1940 SPRING ST PACT CLINIC
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City | PASO ROBLES
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State | CA
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Zip | 93446-1620
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Country | US
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Telephone | 805-239-9595
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 88
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City | TEMPLETON
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State | CA
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Zip | 93465-0088
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Country | US
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Telephone | 805-748-7127
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Fax | 800-783-4127
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 27362
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License Number State | CA
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