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NPI 1467332924

NPI 1467332924 : FATEMA A HAIDER : LOMA LINDA, CA

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General NPI Number Information
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    NPI Number           |    1467332924
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    Entity Type          |    Individual 
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    Provider Name        |    FATEMA A HAIDER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/05/2025
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    Last Update Date     |    09/05/2025
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Provider Practice Location Address
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    Address Line         |    11234 ANDERSON ST 
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    City                 |    LOMA LINDA
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    State                |    CA
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    Zip                  |    92350-1716
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    Country              |    US
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    Telephone            |    949-558-4000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    62 CHASMA 
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    City                 |    IRVINE
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    State                |    CA
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    Zip                  |    92618-1316
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    Country              |    US
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    Telephone            |    626-203-9852
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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       |    91271
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    License Number State |    CA
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