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General NPI Number Information
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NPI Number | 1881905990
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Entity Type | Individual
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Provider Name | MARLEIN ISKANDAR PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 06/24/2010
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 2738 E. THOMPSON BLVD.
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City | VENTURA
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State | CA
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Zip | 93003
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Country | US
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Telephone | 805-648-7795
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Fax | 805-648-2830
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Provider Business Mailing Address
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Address Line | 3241 BUTTERCUP LN
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City | CAMARILLO
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State | CA
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Zip | 93012-7787
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Country | US
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Telephone | 805-484-4830
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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 | RPH62251
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License Number State | CA
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