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General NPI Number Information
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NPI Number | 1174831028
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Entity Type | Individual
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Provider Name | AMIR SHAWN KOHAN PHARM D
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Gender | Male
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 16060 VENTURA BLVD STE 109
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City | ENCINO
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State | CA
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Zip | 91436-4427
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Country | US
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Telephone | 818-387-8119
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Fax |
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Provider Business Mailing Address
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Address Line | 16060 VENTURA BLVD STE 109
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City | ENCINO
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State | CA
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Zip | 91436-4427
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Country | US
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Telephone | 818-387-8119
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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 | RPH 64521
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 51052
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License Number State | CA
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