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General NPI Number Information
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NPI Number | 1356980676
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Entity Type | Individual
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Provider Name | CHRISTINA ANZ PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 01/03/2020
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 2626 COLORADO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90041-1070
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Country | US
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Telephone | 323-258-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 2512 N KEYSTONE ST
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City | BURBANK
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State | CA
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Zip | 91504-2123
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Country | US
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Telephone | 818-720-7584
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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 | 81563
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License Number State | CA
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