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General NPI Number Information
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NPI Number | 1659775435
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Entity Type | Individual
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Provider Name | FARZANEH BASSIRI PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 27931 KELLY JOHNSON PKWY
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City | SANTA CLARITA
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State | CA
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Zip | 91355-5083
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Country | US
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Telephone | 661-294-0018
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Fax | 661-294-0481
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Provider Business Mailing Address
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Address Line | 26694 N PEBBLE RIDGE PLACE
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City | VALENCIA
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State | CA
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Zip | 91381
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Country | US
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Telephone | 661-254-3242
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Fax | 661-254-8283
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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 | 46194
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License Number State | CA
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