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General NPI Number Information
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NPI Number | 1902214893
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Entity Type | Individual
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Provider Name | MICHAEL WESTLAKE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 4010 MANZANITA AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-1724
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Country | US
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Telephone | 916-482-4930
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Fax |
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Provider Business Mailing Address
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Address Line | 640 E MAIN ST STE 2
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5854
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Country | US
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Telephone | 530-274-0100
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Fax | 530-274-7500
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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 | 68277
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License Number State | CA
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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 | RPH 68277
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License Number State | CA
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