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General NPI Number Information
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NPI Number | 1760159610
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Entity Type | Individual
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Provider Name | SHAFAGH ESLAMI
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Gender | Female
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Dates
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Enumeration Date | 08/27/2021
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 10685 MERRITT ST
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City | CASTROVILLE
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State | CA
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Zip | 95012-3312
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Country | US
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Telephone | 831-632-5011
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Fax | 408-850-5784
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Provider Business Mailing Address
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Address Line | 10685 MERRITT ST
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City | CASTROVILLE
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State | CA
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Zip | 95012-3312
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Country | US
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Telephone | 831-632-5011
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Fax | 408-850-5784
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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 | RPH84871
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License Number State | CA
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