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General NPI Number Information
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NPI Number | 1265893242
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Entity Type | Individual
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Provider Name | IRINA BINDER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/17/2016
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Last Update Date | 03/17/2016
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Provider Practice Location Address
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Address Line | 4955 VAN NUYS BLVD
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1801
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Country | US
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Telephone | 818-905-0669
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Fax |
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Provider Business Mailing Address
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Address Line | 5534 ENCINO AVE APT 315
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City | ENCINO
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State | CA
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Zip | 91316-1787
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Country | US
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Telephone | 213-300-1293
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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 | 60417
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License Number State | CA
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