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General NPI Number Information
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NPI Number | 1013408186
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Entity Type | Individual
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Provider Name | MAHIYAR ARJOMAND PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2018
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 4558 ADMIRALTY WAY
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5417
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Country | US
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Telephone | 310-823-5311
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Fax | 310-577-7562
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Provider Business Mailing Address
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Address Line | 4558 ADMIRALTY WAY
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5417
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Country | US
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Telephone | 310-823-5311
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Fax | 310-577-7562
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 0202010349
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 0202010349
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 0202010349
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202010349
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License Number State | VA
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