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General NPI Number Information
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NPI Number | 1922978527
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Entity Type | Individual
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Provider Name | ELIZABETH SERGEANT
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Gender | Female
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Dates
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Enumeration Date | 11/08/2025
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 2148 BULRUSH LN
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City | CARDIFF
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State | CA
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Zip | 92007-1408
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Country | US
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Telephone | 989-992-3732
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Fax |
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Provider Business Mailing Address
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Address Line | 2148 BULRUSH LN
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City | CARDIFF
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State | CA
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Zip | 92007-1408
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051291387
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License Number State | IL
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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 | 76400
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License Number State | CA
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