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General NPI Number Information
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NPI Number | 1073978482
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Entity Type | Individual
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Provider Name | SAN TA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 11500 BROOKSHIRE AVE
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City | DOWNEY
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State | CA
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Zip | 90241-4917
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Country | US
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Telephone | 562-904-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 11500 BROOKSHIRE AVE
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City | DOWNEY
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State | CA
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Zip | 90241-4917
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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 | PH60565451
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 57996
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License Number State | TX
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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 | RPH0015000
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 73504
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19179
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License Number State | NV
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