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General NPI Number Information
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NPI Number | 1851867196
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Entity Type | Individual
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Provider Name | DARIA LUKONINA PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 10/14/2018
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Last Update Date | 10/14/2018
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Provider Practice Location Address
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Address Line | 22277 MULHOLLAND HWY
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City | CALABASAS
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State | CA
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Zip | 91302-5156
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Country | US
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Telephone | 818-223-8656
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Fax |
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Provider Business Mailing Address
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Address Line | 5540 OWENSMOUTH AVE APT 305
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-7031
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Country | US
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Telephone | 818-585-8669
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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 | 79507
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License Number State | CA
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