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General NPI Number Information
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NPI Number | 1902676307
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Entity Type | Individual
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Provider Name | ELIZABETH AYAKA IDE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 760 HARRISON ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1235
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Country | US
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Telephone | 628-754-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 1251 8TH AVE APT 6
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-2429
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Country | US
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Telephone | 408-621-8571
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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 | RPH89927
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License Number State | CA
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