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General NPI Number Information
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NPI Number | 1073495156
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Entity Type | Individual
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Provider Name | IJEOMA ELEAZU PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 714 W OLYMPIC BLVD STE 1106
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City | LOS ANGELES
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State | CA
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Zip | 90015-4130
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Country | US
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Telephone | 323-730-1920
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Fax |
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Provider Business Mailing Address
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Address Line | 6140 S GUN CLUB RD # K6-173
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City | AURORA
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State | CO
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Zip | 80016-5306
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 21008
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License Number State | CO
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Taxonomy #2
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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 | 13969
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License Number State | NV
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Taxonomy #3
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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 | 50022
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License Number State | CA
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