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General NPI Number Information
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NPI Number | 1720508724
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Entity Type | Organization
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Legal Business Name | MONAZZA NAVID CHAUDHRY LLC
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1860 EL CAMINO REAL STE 108
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City | BURLINGAME
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State | CA
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Zip | 94010-3106
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Country | US
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Telephone | 650-692-6569
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Fax | 650-692-6569
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Provider Business Mailing Address
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Address Line | 1860 EL CAMINO REAL STE 108
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City | BURLINGAME
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State | CA
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Zip | 94010-3106
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Country | US
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Telephone | 650-692-6569
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Fax | 650-692-6569
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Authorized Official
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Title or Position | PIC/PRESIDENT
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Name | MRS. MONAZZA NAVID CHAUDHRY
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Credential | PHARMACIST
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Telephone | 650-692-6569
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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 | 54044
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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