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General NPI Number Information
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NPI Number | 1356993513
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Entity Type | Individual
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Provider Name | ARUNSRI MACHANDAENG RPH
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Gender | Female
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 07/09/2019
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Provider Practice Location Address
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Address Line | 602 EUCLID AVE
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City | SAN DIEGO
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State | CA
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Zip | 92114-2207
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Country | US
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Telephone | 619-321-1614
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Fax |
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Provider Business Mailing Address
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Address Line | 14300 TERRA BELLA ST UNIT 96
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City | PANORAMA CITY
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State | CA
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Zip | 91402-6756
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Country | US
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Telephone | 818-429-9624
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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 | RPH80628
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License Number State | CA
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