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General NPI Number Information
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NPI Number | 1104183680
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Entity Type | Individual
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Provider Name | MS. JANSEN CHASTENET FILIO
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Gender | Female
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 09/15/2012
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Provider Practice Location Address
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Address Line | 600 LONG BEACH BLVD
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City | LONG BEACH
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State | CA
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Zip | 90802-1321
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Country | US
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Telephone | 562-279-1027
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Fax | 562-270-1022
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Provider Business Mailing Address
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Address Line | 600 LONG BEACH BLVD
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City | LONG BEACH
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State | CA
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Zip | 90802-1321
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Country | US
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Telephone | 562-279-1027
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Fax | 562-270-1022
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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 | IR60233212
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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 | INT 28471
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E18206
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License Number State | ID
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