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General NPI Number Information
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NPI Number | 1891207296
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Entity Type | Individual
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Provider Name | KATHERINE RO
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Gender | Female
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 10/26/2017
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Provider Practice Location Address
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Address Line | 8400 FIRESTONE BLVD
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City | DOWNEY
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State | CA
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Zip | 90241-3844
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Country | US
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Telephone | 562-861-5460
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Fax |
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Provider Business Mailing Address
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Address Line | 13503 ASHWORTH PL
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City | CERRITOS
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State | CA
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Zip | 90703-8902
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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 | 77425
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License Number State | CA
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