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General NPI Number Information
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NPI Number | 1134098064
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Entity Type | Individual
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Provider Name | CODY ANGERMAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 8 MEDICAL PLAZA DR STE 250
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City | ROSEVILLE
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State | CA
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Zip | 95661-3107
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Country | US
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Telephone | 916-878-4960
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 397
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City | CAMINO
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State | CA
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Zip | 95709-0397
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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 | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | RPH86240
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License Number State | CA
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