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General NPI Number Information
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NPI Number | 1942518618
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Entity Type | Individual
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Provider Name | VAISHALI SHAH RPH
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Gender | Female
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 12059 CENTRAL AVE
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City | CHINO
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State | CA
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Zip | 91710-1908
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Country | US
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Telephone | 909-627-4012
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Fax |
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Provider Business Mailing Address
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Address Line | 343 GEORGIA CIR
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City | PLACENTIA
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State | CA
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Zip | 92870-5013
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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 | 52475
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License Number State | CA
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