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NPI 1467553685

NPI 1467553685 : ANDENIKA NICOLE ADAMS PHARMD : MENLO PARK, CA

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General NPI Number Information
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    NPI Number           |    1467553685
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    Entity Type          |    Individual 
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    Provider Name        |    ANDENIKA NICOLE ADAMS PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/26/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    795 WILLOW RD 
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    City                 |    MENLO PARK
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    State                |    CA
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    Zip                  |    94025-2539
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    Country              |    US
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    Telephone            |    650-493-5000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1664 HOPE DR APT 1620 
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    City                 |    SANTA CLARA
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    State                |    CA
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    Zip                  |    95054-1770
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    Country              |    US
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    Telephone            |    408-327-2298
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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       |    5302035013
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    License Number State |    MI
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