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General NPI Number Information
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NPI Number | 1912324260
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Entity Type | Individual
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Provider Name | KALEENA ENANY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 11270 LOS ALAMITOS BLVD
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3958
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Country | US
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Telephone | 562-596-2729
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Fax |
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Provider Business Mailing Address
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Address Line | 11270 LOS ALAMITOS BLVD
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3958
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Country | US
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Telephone | 562-596-2729
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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 | 28R103585300
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License Number State | NJ
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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 | 058977
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PCT.0012798
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 70562
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License Number State | CA
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