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General NPI Number Information
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NPI Number | 1073086013
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Entity Type | Individual
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Provider Name | SANAM EMANUEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 4777 FIRMAMENT AVE
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City | ENCINO
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State | CA
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Zip | 91436-1603
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Country | US
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Telephone | 310-592-2177
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Fax |
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Provider Business Mailing Address
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Address Line | 9201 W SUNSET BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-3701
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Country | US
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Telephone | 323-272-0488
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 57664
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License Number State | CA
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