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General NPI Number Information
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NPI Number | 1942278379
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Entity Type | Individual
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Provider Name | RACQUEL L SPERRAZZO R.P.H.
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Gender | Female
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1625 SCHRADER BLVD 2ND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90028-6213
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Country | US
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Telephone | 323-860-5802
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Fax | 323-308-4444
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Provider Business Mailing Address
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Address Line | 1625 SCHRADER BLVD 2ND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90028-6213
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Country | US
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Telephone | 323-860-5802
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Fax | 323-308-4444
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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 | RPH54398
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License Number State | CA
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