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General NPI Number Information
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NPI Number | 1922478452
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Entity Type | Individual
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Provider Name | POONAM AHUJA
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Gender | Female
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Dates
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Enumeration Date | 09/26/2015
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 4020 FREMONT HUB
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City | FREMONT
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State | CA
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Zip | 94538-1322
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Country | US
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Telephone | 510-791-9108
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Fax |
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Provider Business Mailing Address
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Address Line | 43729 CAMERON HILLS DR
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City | FREMONT
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State | CA
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Zip | 94539-5971
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Country | US
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Telephone | 510-289-7793
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Fax | 510-366-9849
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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 | 68410
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License Number State | CA
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