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General NPI Number Information
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NPI Number | 1598140402
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Entity Type | Individual
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Provider Name | EFFIE P SPENTZOS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2015
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Last Update Date | 07/22/2015
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Provider Practice Location Address
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Address Line | 12400 HIGH BLUFF DRIVE RX PROHEALTH
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City | SAN DIEGO
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State | CA
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Zip | 92130
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Country | US
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Telephone | 877-435-2132
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Fax | 866-580-6378
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Provider Business Mailing Address
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Address Line | 5780 OWL HILL AVE
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City | SANTA ROSA
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State | CA
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Zip | 95409
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Country | US
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Telephone | 707-477-4458
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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 | 37026
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License Number State | CA
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