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General NPI Number Information
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NPI Number | 1942751607
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Entity Type | Individual
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Provider Name | RIDHIMA MANN PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 05/29/2019
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Provider Practice Location Address
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Address Line | 10540 WHITE ROCK RD STE 280
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-6094
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Country | US
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Telephone | 916-463-9893
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Fax |
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Provider Business Mailing Address
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Address Line | 9008 COBBLE CREST DR
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City | SACRAMENTO
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State | CA
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Zip | 95829-9226
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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 | 75051
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License Number State | CA
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