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NPI 1598426553

NPI 1598426553 : ALANNA NARVASA : MONTCLAIR, CA

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General NPI Number Information
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    NPI Number           |    1598426553
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    Entity Type          |    Individual 
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    Provider Name        |    ALANNA NARVASA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/03/2022
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    Last Update Date     |    01/03/2022
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Provider Practice Location Address
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    Address Line         |    9052 CENTRAL AVE 
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    City                 |    MONTCLAIR
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    State                |    CA
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    Zip                  |    91763-1621
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    Country              |    US
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    Telephone            |    909-447-6785
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9052 CENTRAL AVE 
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    City                 |    MONTCLAIR
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    State                |    CA
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    Zip                  |    91763-1621
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    Country              |    US
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    Telephone            |    
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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       |    85748
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    License Number State |    CA
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