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General NPI Number Information
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NPI Number | 1346585841
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Entity Type | Individual
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Provider Name | STEPHANIE KAZANJIAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/10/2012
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 2300 W BEN WHITE BLVD
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City | AUSTIN
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State | TX
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Zip | 78704-7525
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Country | US
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Telephone | 512-443-2678
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Fax | 512-362-5800
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Provider Business Mailing Address
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Address Line | 2300 W BEN WHITE BLVD
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City | AUSTIN
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State | TX
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Zip | 78704-7525
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Country | US
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Telephone | 512-443-2678
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Fax | 512-362-5800
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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 | PH232337
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60305890
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 60323
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 61194
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License Number State | CA
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