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General NPI Number Information
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NPI Number | 1902418924
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Entity Type | Individual
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Provider Name | SHANNAN TAKHAR PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 3651 BUSINESS DR STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95820-2176
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Country | US
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Telephone | 916-736-6523
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Fax |
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Provider Business Mailing Address
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Address Line | 2749 N COVE DR
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City | SACRAMENTO
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State | CA
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Zip | 95833-4477
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Country | US
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Telephone |
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 78652
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License Number State | CA
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