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General NPI Number Information
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NPI Number | 1477799955
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Entity Type | Individual
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Provider Name | ELAHEH MEHDIGHOLI PHARM-D
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Gender | Female
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Dates
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Enumeration Date | 01/05/2009
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Last Update Date | 01/05/2009
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Provider Practice Location Address
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Address Line | 24829 DEL PRADO
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City | DANA POINT
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State | CA
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Zip | 92629-2852
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Country | US
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Telephone | 949-493-0582
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Fax |
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Provider Business Mailing Address
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Address Line | 25162 PASEO EQUESTRE
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City | LAKE FOREST
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State | CA
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Zip | 92630-2149
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Country | US
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Telephone | 949-215-9626
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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 | 50802
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License Number State | CA
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