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General NPI Number Information
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NPI Number | 1538826961
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Entity Type | Individual
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Provider Name | MRS. MARIA CRISTINA AHMADI
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Gender | Female
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Dates
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Enumeration Date | 11/19/2021
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 12491 VALLEY VIEW ST
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City | GARDEN GROVE
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State | CA
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Zip | 92845-2032
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Country | US
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Telephone | 714-894-9230
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Fax | 714-891-5485
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Provider Business Mailing Address
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Address Line | 729 S KNOTT AVE APT 106
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City | ANAHEIM
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State | CA
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Zip | 92804-2991
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Country | US
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Telephone | 714-420-9419
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 168922
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License Number State | CA
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