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NPI 1841560422

NPI 1841560422 : SARAH NU LE PHARM.D : NORCO, CA

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General NPI Number Information
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    NPI Number           |    1841560422
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH NU LE PHARM.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/12/2012
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    Last Update Date     |    03/22/2014
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Provider Practice Location Address
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    Address Line         |    475 HIDDEN VALLEY PKWY 
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    City                 |    NORCO
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    State                |    CA
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    Zip                  |    92860-3972
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    Country              |    US
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    Telephone            |    951-280-1270
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    72 LINHAVEN 
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    City                 |    IRVINE
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    State                |    CA
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    Zip                  |    92602
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    Country              |    US
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    Telephone            |    714-333-8782
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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       |    PS47154
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    RPH66604
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    License Number State |    CA
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