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NPI 1891878732

NPI 1891878732 : STEPHANIE CHRISTINE HOLCOMB PHARM.D. : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1891878732
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHANIE CHRISTINE HOLCOMB PHARM.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/23/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    7300 N FRESNO ST 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-2941
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    Country              |    US
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    Telephone            |    559-448-3305
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    Fax                  |    559-448-3350
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Provider Business Mailing Address
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    Address Line         |    1832 E OAKMONT AVE 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-3550
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    Country              |    US
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    Telephone            |    559-433-8860
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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       |    52134
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    License Number State |    CA
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