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General NPI Number Information
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NPI Number | 1134737463
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Entity Type | Individual
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Provider Name | HOLLIE BETH PORRAS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 10881 OLSON DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-5646
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Country | US
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Telephone | 916-503-2513
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Fax |
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Provider Business Mailing Address
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Address Line | 9444 HARBOUR POINT DR APT 186
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City | ELK GROVE
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State | CA
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Zip | 95758-3736
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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 | 81850
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License Number State | CA
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