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General NPI Number Information
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NPI Number | 1942886981
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Entity Type | Individual
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Provider Name | SOPHIA PHI PHI DINH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2021
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 125 E CLUB CENTER DR
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-4107
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Country | US
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Telephone | 909-558-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 25276 BARTON RD APT 4
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City | LOMA LINDA
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State | CA
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Zip | 92354-3056
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Country | US
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Telephone |
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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 | 83861
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License Number State | CA
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