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General NPI Number Information
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NPI Number | 1942708722
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Entity Type | Individual
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Provider Name | KATHLEEN MARY VOSBERG
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Gender | Female
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 11025 N TORREY PINES RD
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City | LA JOLLA
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State | CA
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Zip | 92037-1030
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Country | US
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Telephone | 760-687-6348
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Fax |
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Provider Business Mailing Address
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Address Line | 919 HORNE PL
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City | OCEANSIDE
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State | CA
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Zip | 92054-5966
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Country | US
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Telephone | 760-421-8127
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 54796
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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 | 54796
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License Number State | CA
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