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General NPI Number Information
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NPI Number | 1548320617
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Entity Type | Individual
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Provider Name | MONA SARDAR MASIH PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3951 VAN BUREN BLVD
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City | RIVERSIDE
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State | CA
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Zip | 92503-3620
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Country | US
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Telephone | 951-352-0292
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Fax |
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Provider Business Mailing Address
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Address Line | 2161 TRIADOR ST UNIT 101
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City | CORONA
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State | CA
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Zip | 92879-7945
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Country | US
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Telephone | 951-340-9102
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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 | RPH # 52267
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License Number State | CA
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