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General NPI Number Information
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NPI Number | 1194890699
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Entity Type | Individual
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Provider Name | GEETA ANJLI MAGGU PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10535 HOSPITAL WAY SACRAMENTO VA MEDICAL CENTER
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City | MATHER
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State | CA
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Zip | 95655-4200
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Country | US
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Telephone | 916-843-7209
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Fax |
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Provider Business Mailing Address
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Address Line | 201 NOBLE CT
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City | MURPHY
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State | TX
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Zip | 75094-4237
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Country | US
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Telephone | 214-558-4433
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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 | 44814
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License Number State | TX
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