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General NPI Number Information
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NPI Number | 1487019469
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Entity Type | Individual
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Provider Name | BESHOY GERGES PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/17/2015
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 8254 WHITE OAK AVE UNIT 4
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City | NORTHRIDGE
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State | CA
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Zip | 91325
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Country | US
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Telephone | 818-975-8004
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Fax | 818-975-8094
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Provider Business Mailing Address
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Address Line | 16820 BLACKHAWK ST
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City | GRANADA HILLS
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State | CA
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Zip | 91344-7301
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Country | US
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Telephone | 818-975-8004
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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 | 73225
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 73225
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License Number State | CA
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