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General NPI Number Information
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NPI Number | 1689857005
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Entity Type | Individual
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Provider Name | SHAHNAM ZAND BIGLARI PHARMD, BCNP
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Gender | Male
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 14 PRAIRIE FALCON
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City | ALISO VIEJO
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State | CA
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Zip | 92656-1717
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Country | US
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Telephone | 949-607-0955
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Fax | 949-315-3044
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Provider Business Mailing Address
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Address Line | PO BOX 195
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City | ATWOOD
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State | CA
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Zip | 92811-0195
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Country | US
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Telephone | 949-607-0955
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Fax | 949-315-3044
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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 | RPH45604
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1835N0905X
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Taxonomy Name | Nuclear Pharmacist
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License Number | RPH45604
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License Number State | CA
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