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General NPI Number Information
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NPI Number | 1700413812
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Entity Type | Individual
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Provider Name | DANIELLE FASANI PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | 500 PASTEUR DR
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City | PALO ALTO
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State | CA
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Zip | 94304-1048
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Country | US
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Telephone | 805-368-9694
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Fax |
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Provider Business Mailing Address
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Address Line | 912 FREMONT PL APT 1
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City | MENLO PARK
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State | CA
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Zip | 94025-5040
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Country | US
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Telephone |
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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 | 80782
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License Number State | CA
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