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General NPI Number Information
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NPI Number | 1669143723
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Entity Type | Individual
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Provider Name | DR. JANESSA ESMERIA CARIAGA
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Gender | Female
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 1550 HAMILTON AVE
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City | SAN JOSE
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State | CA
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Zip | 95125-4539
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Country | US
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Telephone | 408-264-8642
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 731139
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City | SAN JOSE
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State | CA
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Zip | 95173-1139
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Country | US
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Telephone | 408-712-8646
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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 | 85304
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License Number State | CA
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