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NPI 1467192542

NPI 1467192542 : HAYA ALGWAIZ PHARMD : COALINGA, CA

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General NPI Number Information
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    NPI Number           |    1467192542
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    Entity Type          |    Individual 
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    Provider Name        |    HAYA ALGWAIZ PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/29/2022
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    Last Update Date     |    11/17/2022
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Provider Practice Location Address
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    Address Line         |    1191 PHELPS AVE 
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    City                 |    COALINGA
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    State                |    CA
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    Zip                  |    93210-9609
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    Country              |    US
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    Telephone            |    559-821-6034
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1570 W CAMPBELL AVE 
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    City                 |    CAMPBELL
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    State                |    CA
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    Zip                  |    95008-1528
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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       |    85913
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    License Number State |    CA
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