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General NPI Number Information
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NPI Number | 1588287098
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Entity Type | Individual
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Provider Name | MS. PIA MAE SANGALANG MORENO
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Gender | Female
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 13128 IMPERIAL HWY
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-4817
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Country | US
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Telephone | 562-941-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 21501 S VERMONT AVE APT 105
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City | TORRANCE
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State | CA
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Zip | 90502-1914
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Country | US
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Telephone | 424-308-3767
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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 | 177030
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License Number State | CA
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