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General NPI Number Information
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NPI Number | 1336353804
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Entity Type | Individual
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Provider Name | SHEETAL AMIN RPH
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 22343 LA PALMA AVE STE 114
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City | YORBA LINDA
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State | CA
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Zip | 92887-3805
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Country | US
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Telephone | 714-692-3261
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Fax | 714-692-3284
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Provider Business Mailing Address
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Address Line | 5425 LOS MONTEROS
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City | YORBA LINDA
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State | CA
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Zip | 92887-5110
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Country | US
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Telephone | 714-469-8261
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Fax | 714-692-3284
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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 | 46664
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License Number State | CA
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