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General NPI Number Information
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NPI Number | 1922477082
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Entity Type | Individual
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Provider Name | JASMINE HASHEMIEH-ESTES
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Gender | Female
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 17200 VENTURA BLVD STE 116
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City | ENCINO
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State | CA
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Zip | 91316-5029
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Country | US
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Telephone | 818-968-2422
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Fax | 818-907-8238
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Provider Business Mailing Address
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Address Line | 20635 OXNARD ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91367
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Country | US
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Telephone | 818-968-2422
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Fax | 818-907-9239
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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 | 44184
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License Number State | CA
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