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General NPI Number Information
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NPI Number | 1225146111
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Entity Type | Organization
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Legal Business Name | COUNTY OF LOS ANGELES
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 14445 OLIVE VIEW DR 2A219
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City | SYLMAR
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State | CA
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Zip | 91342-1437
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Country | US
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Telephone | 818-364-3065
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Fax | 818-364-3627
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Provider Business Mailing Address
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Address Line | 14445 OLIVE VIEW DR 2A219
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City | SYLMAR
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State | CA
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Zip | 91342-1437
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Country | US
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Telephone | 747-210-3059
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Fax | 747-210-3063
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Authorized Official
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Title or Position | PHARMACY SERVICES DIRECTOR
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Name | NADRINE BALADY-BOUZIANA
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Credential | PHARM.D.
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Telephone | 747-210-3059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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