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General NPI Number Information
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NPI Number | 1700142254
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Entity Type | Individual
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Provider Name | SANDRA LOTZ-WEINER RPH
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Gender | Female
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 06/15/2019
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Provider Practice Location Address
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Address Line | 555 CARMEL RANCHO BLVD
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City | CARMEL
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State | CA
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Zip | 93923-8708
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Country | US
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Telephone | 831-624-7173
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Fax | 831-624-7348
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Provider Business Mailing Address
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Address Line | 2000 CALIFORNIA AVE
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City | SAND CITY
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State | CA
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Zip | 93955-3150
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Country | US
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Telephone | 831-393-1400
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Fax | 831-393-1420
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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 | 55412
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License Number State | CA
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