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General NPI Number Information
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NPI Number | 1861772659
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Entity Type | Individual
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Provider Name | ANNE NICOLE DEUKMEDJIAN PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 08/24/2011
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 2001 N ROSE AVE
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City | OXNARD
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State | CA
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Zip | 93036-2681
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Country | US
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Telephone | 805-981-9606
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Fax |
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Provider Business Mailing Address
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Address Line | 512 N VENTU PARK RD
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-2709
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Country | US
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Telephone | 805-262-3413
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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 | RPH63389
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License Number State | CA
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