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General NPI Number Information
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NPI Number | 1962094268
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Entity Type | Individual
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Provider Name | AARON BOHLMANN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/08/2021
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 6215 RIVERSIDE AVE
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City | RIVERSIDE
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State | CA
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Zip | 92506-2179
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Country | US
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Telephone | 951-781-0146
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Fax |
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Provider Business Mailing Address
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Address Line | 2461 MESA TER
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City | UPLAND
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State | CA
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Zip | 91784-1081
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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 | 81132
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License Number State | CA
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