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General NPI Number Information
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NPI Number | 1447579131
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Entity Type | Individual
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Provider Name | HARUNA NGBO MADAKI B.PHARM., MPH
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Gender | Male
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Dates
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Enumeration Date | 05/20/2010
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Last Update Date | 05/20/2010
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Provider Practice Location Address
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Address Line | 295 W MAIN ST
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City | WOODLAND
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State | CA
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Zip | 95695-3691
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Country | US
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Telephone | 530-662-1795
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Fax | 530-662-6261
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Provider Business Mailing Address
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Address Line | 1551 MAYFIELD ST
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City | SACRAMENTO
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State | CA
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Zip | 95835-1210
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Country | US
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Telephone | 916-333-1125
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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 | RPH 61015
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License Number State | CA
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