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General NPI Number Information
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NPI Number | 1528320876
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Entity Type | Individual
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Provider Name | ANAHITA DASHTAEI PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 01/04/2018
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Provider Practice Location Address
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Address Line | 1884 VILLA DEL DIOS GLN
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City | ESCONDIDO
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State | CA
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Zip | 92029-5320
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Country | US
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Telephone | 858-610-4471
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Fax |
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Provider Business Mailing Address
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Address Line | 8695 SPECTRUM CENTER CT
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City | SAN DIEGO
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State | CA
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Zip | 92123-1489
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Country | US
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Telephone | 858-610-4471
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Fax | 858-636-2073
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 64067
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License Number State | CA
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