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General NPI Number Information
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NPI Number | 1356155857
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Entity Type | Individual
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Provider Name | BASMA SAADALLAH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 16225 SIERRA LAKES PKWY
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City | FONTANA
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State | CA
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Zip | 92336-1245
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Country | US
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Telephone | 909-357-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 6608 PINON CT
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City | CHINO
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State | CA
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Zip | 91710-7437
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Country | US
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Telephone | 818-292-0251
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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 | RPH90630
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License Number State | CA
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