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General NPI Number Information
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NPI Number | 1376823294
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Entity Type | Individual
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Provider Name | PARISA SOOFERI PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 555 EVELYN PL
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-1824
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Country | US
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Telephone | 310-600-2654
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Fax |
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Provider Business Mailing Address
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Address Line | 11321 NATIONAL BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-3726
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Country | US
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Telephone |
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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 | 65881
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License Number State | CA
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