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General NPI Number Information
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NPI Number | 1346517406
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Entity Type | Individual
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Provider Name | LOIS SAKAMOTO
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Gender | Female
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 5005 BALL RD
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City | CYPRESS
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State | CA
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Zip | 90630-3643
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Country | US
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Telephone | 714-886-1079
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Fax |
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Provider Business Mailing Address
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Address Line | 17355 FLAME TREE CIR
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-3521
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Country | US
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Telephone | 714-968-2065
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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 | 49180
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License Number State | CA
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