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General NPI Number Information
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NPI Number | 1386926178
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Entity Type | Individual
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Provider Name | SARAH ANN SANTILLO PHARM D
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Gender | Female
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 250 BROADWAY TARGET 231
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City | SAN DIEGO
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State | CA
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Zip | 92021
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Country | US
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Telephone | 619-402-0001
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Fax | 619-402-0001
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Provider Business Mailing Address
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Address Line | 250 BROADWAY AVE TARGET 231
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City | SAN DIEGO
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State | CA
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Zip | 92021
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Country | US
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Telephone | 619-402-0001
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Fax | 619-402-0001
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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 | 65366
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License Number State | CA
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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 | PHY2997
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License Number State | HI
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