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General NPI Number Information
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NPI Number | 1396611869
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Entity Type | Individual
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Provider Name | ASEALA ABOUSAUD PHARMD, BCOP, APH
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Gender | Female
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 177 LA CASA VIA STE 300
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City | WALNUT CREEK
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State | CA
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Zip | 94598-6101
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Country | US
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Telephone | 925-692-5647
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Fax | 925-692-5908
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Provider Business Mailing Address
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Address Line | 99 ASPEN LN
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City | PITTSBURG
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State | CA
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Zip | 94565-5490
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 90732
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 90732
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 90732
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 90732
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License Number State | CA
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