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General NPI Number Information
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NPI Number | 1609187202
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Entity Type | Individual
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Provider Name | MEENA QAZIZADA PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 06/03/2011
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Provider Practice Location Address
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Address Line | 2858 LOKER AVE E
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City | CARLSBAD
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State | CA
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Zip | 92010-6666
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Country | US
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Telephone | 760-804-2399
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Fax |
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Provider Business Mailing Address
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Address Line | 28056 MARGUERITE PKWY APT N
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City | MISSION VIEJO
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State | CA
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Zip | 92692-3625
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Country | US
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Telephone | 949-413-3588
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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 | 64197
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 44987
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License Number State | FL
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