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General NPI Number Information
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NPI Number | 1538889472
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Entity Type | Individual
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Provider Name | SAMANTHA TOBITT
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Gender | Female
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 1201 E PLAZA BLVD
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City | NATIONAL CITY
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State | CA
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Zip | 91950-3609
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Country | US
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Telephone | 619-477-7114
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Fax |
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Provider Business Mailing Address
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Address Line | 392 SYCAMORE RD UNIT 4
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City | SAN YSIDRO
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State | CA
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Zip | 92173-3066
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Country | US
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Telephone | 813-293-1188
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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 | 85289
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License Number State | CA
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