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General NPI Number Information
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NPI Number | 1326556689
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Entity Type | Individual
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Provider Name | ROSEMARY NWAKAEGO ANYANWU
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Gender | Female
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Dates
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Enumeration Date | 01/19/2018
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Last Update Date | 01/19/2018
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Provider Practice Location Address
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Address Line | 12549 FOOTHILL BLVD
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-9317
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Country | US
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Telephone | 909-899-7742
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Fax | 909-899-1470
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Provider Business Mailing Address
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Address Line | 16647 PARSLEY LN
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City | FONTANA
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State | CA
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Zip | 92337-7621
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Country | US
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Telephone | 281-408-3241
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Fax | 909-666-7617
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 66773
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License Number State | CA
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