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General NPI Number Information
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NPI Number | 1215387741
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Entity Type | Organization
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Legal Business Name | ASHER E ESAGOFF
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 240 S LA CIENEGA BLVD SUITE 100
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3324
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Country | US
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Telephone | 310-652-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 240 S LA CIENEGA BLVD SUITE 100
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3324
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Country | US
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Telephone | 310-652-0550
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Fax |
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Authorized Official
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Title or Position | PHARM.D
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Name | ASHER ERIC ESAGOFF
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Credential |
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Telephone | 310-652-0550
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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 | PHY31130
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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