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General NPI Number Information
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NPI Number | 1902998578
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Entity Type | Individual
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Provider Name | TONY TO PHENGRASAMY PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 1600 OWENS ST FL 5
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City | SAN FRANCISCO
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State | CA
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Zip | 94158-2261
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Country | US
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Telephone | 628-242-6533
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Fax | 628-242-6555
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Provider Business Mailing Address
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Address Line | 3981 ALEMANY BLVD APT 303
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City | SAN FRANCISCO
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State | CA
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Zip | 94132-3253
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Country | US
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Telephone | 650-994-4549
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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 | RPH 51027
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License Number State | CA
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