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General NPI Number Information
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NPI Number | 1952638637
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Entity Type | Individual
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Provider Name | SANDRINE K KAMDOUM
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Gender | Female
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 11/17/2009
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Provider Practice Location Address
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Address Line | 2962 S LONGHORN DR
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City | LANCASTER
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State | TX
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Zip | 75134-2118
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Country | US
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Telephone | 972-228-5645
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Fax |
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Provider Business Mailing Address
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Address Line | 16719 QUAIL PARK DR
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City | MISSOURI CITY
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State | TX
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Zip | 77489-5304
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Country | US
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Telephone | 469-774-7932
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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 | 46565
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License Number State | TX
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