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General NPI Number Information
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NPI Number | 1063992048
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Entity Type | Individual
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Provider Name | SONA MINAS
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Gender | Female
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Dates
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Enumeration Date | 08/18/2018
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Last Update Date | 08/18/2018
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Provider Practice Location Address
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Address Line | 15232 SHERMAN WAY
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City | VAN NUYS
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State | CA
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Zip | 91405-2022
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Country | US
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Telephone | 818-374-3480
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Fax | 818-374-3486
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Provider Business Mailing Address
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Address Line | PO BOX 5771
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City | GLENDALE
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State | CA
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Zip | 91221-5771
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Country | US
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Telephone | 818-209-2780
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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 | 52419
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License Number State | CA
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