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General NPI Number Information
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NPI Number | 1558605915
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Entity Type | Individual
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Provider Name | ESTELLA LIMA SANTOS M PHARM
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Gender | Female
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Dates
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Enumeration Date | 11/23/2012
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Last Update Date | 11/23/2012
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Provider Practice Location Address
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Address Line | 1280 AUTO PARK WAY
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City | ESCONDIDO
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State | CA
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Zip | 92029-2231
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Country | US
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Telephone | 760-489-6119
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Fax |
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Provider Business Mailing Address
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Address Line | 3132 FERNCREEK LN
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City | ESCONDIDO
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State | CA
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Zip | 92027-6747
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Country | US
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Telephone | 858-353-5023
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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 | 55623
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License Number State | CA
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