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General NPI Number Information
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NPI Number | 1407347701
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Entity Type | Organization
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Legal Business Name | NRSA INC
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 11507 OXNARD ST UNIT 2
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-4186
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Country | US
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Telephone | 818-927-4321
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Fax | 818-927-4325
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Provider Business Mailing Address
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Address Line | 11507 OXNARD ST UNIT 2
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-4185
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Country | US
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Telephone | 818-927-4321
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Fax | 818-927-4325
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Authorized Official
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Title or Position | CEO
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Name | IRINA SHEVCHENKO
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Credential |
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Telephone | 323-397-0840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 55969
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License Number State | CA
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