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General NPI Number Information
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NPI Number | 1326414897
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Entity Type | Individual
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Provider Name | FERN-ANN SENO RPH
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Gender | Female
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 2615 TUSCANY ST TARGET STORE 2615 PHARMACY DEPT
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City | CORONA
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State | CA
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Zip | 92881
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Country | US
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Telephone | 951-277-2356
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Fax |
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Provider Business Mailing Address
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Address Line | 7744 ALLENGROVE ST
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City | DOWNEY
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State | CA
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Zip | 90240-2613
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Country | US
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Telephone | 714-264-0095
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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 | 58011
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License Number State | CA
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