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General NPI Number Information
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NPI Number | 1538238993
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Entity Type | Individual
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Provider Name | STACEY RAFF PHARMD, BCPS
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Gender | Female
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 1291 MARSHALL ST
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City | REDWOOD CITY
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State | CA
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Zip | 94063-2531
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Country | US
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Telephone | 415-599-6573
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Fax |
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Provider Business Mailing Address
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Address Line | 20 JEWELL PL
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City | HILLSBOROUGH
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State | CA
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Zip | 94010-6625
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Country | US
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Telephone | 650-344-3274
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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 | 49902
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License Number State | CA
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