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General NPI Number Information
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NPI Number | 1760601645
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Entity Type | Individual
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Provider Name | RESHMA SHROFF RPH
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Gender | Female
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11172 LOS ALAMITOS BLVD
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3621
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Country | US
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Telephone | 562-430-3323
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Fax | 562-431-5863
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Provider Business Mailing Address
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Address Line | 3452 ROSSMOOR WAY
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City | ROSSMOOR
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State | CA
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Zip | 90720-4347
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Country | US
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Telephone | 562-493-0175
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Fax | 562-431-5863
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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 | 45223
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License Number State | CA
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