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General NPI Number Information
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NPI Number | 1578859153
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Entity Type | Individual
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Provider Name | ANNA BRODSKY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2011
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 5711 SEPULVEDA BLVD
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City | VAN NUYS
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State | CA
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Zip | 91411-2918
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Country | US
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Telephone | 818-779-0321
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 NATICK AVE UNIT 101
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2770
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Country | US
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Telephone | 818-259-5923
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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 | 64664
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License Number State | CA
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