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General NPI Number Information
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NPI Number | 1780192849
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Entity Type | Individual
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Provider Name | PARISA FARSA PHARM D
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Gender | Female
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 9100 ALCOSTA BLVD
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City | SAN RAMON
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State | CA
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Zip | 94583-3857
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Country | US
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Telephone | 925-364-9217
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Fax | 925-364-9208
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Provider Business Mailing Address
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Address Line | 1022 SKY JASMINE WAY
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City | SAN RAMON
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State | CA
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Zip | 94582-5076
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Country | US
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Telephone | 925-683-3751
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Fax | 925-683-9208
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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 | 55679
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License Number State | CA
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