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General NPI Number Information
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NPI Number | 1023799293
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Entity Type | Individual
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Provider Name | MEHRNAZ AKHAVAN
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Gender | Female
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 1350 E FLORENCE AVE STE B&C
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City | LOS ANGELES
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State | CA
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Zip | 90001-1963
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Country | US
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Telephone | 232-457-9278
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Fax |
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Provider Business Mailing Address
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Address Line | 740 W ALLUVIAL AVE STE 101
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City | FRESNO
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State | CA
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Zip | 93711-5509
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Country | US
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Telephone | 323-630-3250
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Fax | 559-432-2349
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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 | 40805
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License Number State | CA
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