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General NPI Number Information
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NPI Number | 1154879682
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Entity Type | Individual
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Provider Name | CLARA NASSIF
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Gender | Female
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 11 TECHNOLOGY DR BLDG 7
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City | IRVINE
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State | CA
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Zip | 92618-2302
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Country | US
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Telephone | 562-213-9326
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Fax |
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Provider Business Mailing Address
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Address Line | 11 TECHNOLOGY DR BLDG 7
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City | IRVINE
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State | CA
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Zip | 92618-2302
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | RPH-0014954
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 5302040836
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License Number State | MI
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Taxonomy #3
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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 | 88055
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License Number State | CA
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