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General NPI Number Information
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NPI Number | 1023994498
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Entity Type | Individual
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Provider Name | FEI TSO RPH
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Gender | Female
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 8925 MADISON AVE
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City | FAIR OAKS
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State | CA
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Zip | 95628-4009
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Country | US
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Telephone | 916-965-1541
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Fax |
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Provider Business Mailing Address
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Address Line | 325 9TH ST
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City | DAVIS
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State | CA
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Zip | 95616-1909
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Country | US
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Telephone | 530-760-6166
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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 | 90829
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License Number State | CA
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