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General NPI Number Information
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NPI Number | 1982260253
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Entity Type | Individual
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Provider Name | ABYNA KALLADANTHYIL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 40044 HIGHWAY 49
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City | OAKHURST
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State | CA
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Zip | 93644-8875
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Country | US
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Telephone | 559-642-4227
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Fax |
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Provider Business Mailing Address
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Address Line | 8680 N GLENN AVE APT 113
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City | FRESNO
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State | CA
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Zip | 93711-6937
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Country | US
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Telephone | 813-466-2671
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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 | 78210
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License Number State | CA
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