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General NPI Number Information
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NPI Number | 1124678016
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Entity Type | Individual
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Provider Name | RAYMOND SAMI TOTAH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 09/12/2019
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Provider Practice Location Address
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Address Line | 4647 ZION AVE
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City | SAN DIEGO
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State | CA
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Zip | 92120-2507
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Country | US
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Telephone | 858-525-2439
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Fax |
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Provider Business Mailing Address
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Address Line | 11984 WINDOM PEAK WAY
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City | SAN DIEGO
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State | CA
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Zip | 92131-3835
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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 | 80789
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License Number State | CA
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