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General NPI Number Information
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NPI Number | 1881978674
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Entity Type | Individual
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Provider Name | FATEMEH PARISA AMIRI PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 643 SANTA CRUZ AVE 643 SANTA CRUZ AVE
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City | MENLO PARK
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State | CA
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Zip | 94025-4502
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Country | US
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Telephone | 650-321-1530
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 CASTLETON TER APT C
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City | SUNNYVALE
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State | CA
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Zip | 94087-7921
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Country | US
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Telephone | 408-245-4443
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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 | 48393
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License Number State | CA
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