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General NPI Number Information
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NPI Number | 1174474746
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Entity Type | Individual
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Provider Name | BILIT BIJU PATTASSERIL
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Gender | Male
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1985 ZONAL AVE
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City | LOS ANGELES
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State | CA
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Zip | 90089-5305
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Country | US
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Telephone | 818-916-6131
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Fax |
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Provider Business Mailing Address
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Address Line | 28487 FALCON CREST DR
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City | CANYON COUNTRY
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State | CA
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Zip | 91351-5019
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Country | US
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Telephone | 818-916-6131
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | INT51104
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License Number State | CA
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