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General NPI Number Information
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NPI Number | 1942788898
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Entity Type | Individual
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Provider Name | ROXANNE TANOVICEANU PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 1124 W CARSON ST RM 101
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City | TORRANCE
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State | CA
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Zip | 90502-2006
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Country | US
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Telephone | 310-222-7930
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Fax |
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Provider Business Mailing Address
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Address Line | 3611 W 244TH ST
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City | TORRANCE
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State | CA
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Zip | 90505-6508
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Country | US
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Telephone | 424-241-8788
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 51960
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License Number State | CA
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