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General NPI Number Information
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NPI Number | 1043310824
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Entity Type | Individual
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Provider Name | SARA MIRAN LEE PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/09/2018
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Provider Practice Location Address
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Address Line | 4600 BROADWAY STE 1500
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City | SACRAMENTO
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State | CA
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Zip | 95820-1527
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Country | US
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Telephone | 916-874-9299
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 CALIFORNIA ST APARTMENT 10
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-1902
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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 | 49920
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License Number State | CA
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