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General NPI Number Information
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NPI Number | 1932484359
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Entity Type | Individual
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Provider Name | TERRY A MAH PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 10/17/2011
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Provider Practice Location Address
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Address Line | 1051 BURBANK BLVD
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City | BURBANK
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State | CA
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Zip | 91506-1421
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Country | US
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Telephone | 818-557-3782
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Fax | 818-557-4001
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Provider Business Mailing Address
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Address Line | 1051 W BURBANK BLVD
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City | BURBANK
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State | CA
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Zip | 91506-1421
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Country | US
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Telephone | 818-557-3782
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Fax | 818-557-4001
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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 | 46332
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License Number State | CA
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