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General NPI Number Information
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NPI Number | 1083526594
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Entity Type | Individual
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Provider Name | GENESIS SARDINAS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 801 TIOGA AVE
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City | SAND CITY
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State | CA
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Zip | 93955-3050
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Country | US
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Telephone | 831-899-2481
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2085
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City | MONTEREY
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State | CA
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Zip | 93942-2085
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Country | US
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Telephone | 786-357-2208
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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 | PS71483
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License Number State | FL
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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 | RPH93181
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License Number State | CA
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