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General NPI Number Information
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NPI Number | 1306627773
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Entity Type | Individual
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Provider Name | FARAH MADHA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/11/2023
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 2020 SANTA MONICA BLVD
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City | SANTA MONICA
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State | CA
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Zip | 90404-2023
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Country | US
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Telephone | 999-999-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 3608 KEYSTONE AVE APT 3
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City | LOS ANGELES
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State | CA
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Zip | 90034-5622
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Country | US
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Telephone | 424-298-0583
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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 | 84107
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License Number State | CA
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