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General NPI Number Information
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NPI Number | 1043912637
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Entity Type | Individual
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Provider Name | ABANOUB AKHNOUKH
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Gender | Male
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 11011 ALONDRA BLVD
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City | NORWALK
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State | CA
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Zip | 90650-6202
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Country | US
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Telephone | 562-864-2427
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Fax |
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Provider Business Mailing Address
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Address Line | 9948 CURRANT AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2909
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Country | US
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Telephone | 714-797-2622
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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 | 87697
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License Number State | CA
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