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General NPI Number Information
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NPI Number | 1902960776
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Entity Type | Individual
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Provider Name | YASUO TODD SHINOHARA PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 1420 N. TRACY BLVD SUTTER TRACY COMMUNITY HOSPITAL
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City | TRACY
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State | CA
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Zip | 95376-3497
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Country | US
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Telephone | 209-833-2456
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Fax | 209-832-6510
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Provider Business Mailing Address
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Address Line | 1420 N. TRACY BLVD SUTTER TRACY COMMUNITY HOSPITAL
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City | TRACY
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State | CA
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Zip | 95376-3497
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Country | US
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Telephone | 209-833-2456
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Fax | 209-832-6510
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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 | 45774
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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 | 13591
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License Number State | CO
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