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General NPI Number Information
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NPI Number | 1972052967
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Entity Type | Individual
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Provider Name | NASIMALSADAT SOBHANI
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Gender | Female
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Dates
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Enumeration Date | 10/01/2016
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Last Update Date | 10/01/2016
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Provider Practice Location Address
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Address Line | 1905 MONUMENT BLVD
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City | CONCORD
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State | CA
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Zip | 94520-3858
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Country | US
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Telephone | 925-680-2845
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 656
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City | CLAYTON
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State | CA
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Zip | 94517-0656
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Country | US
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Telephone | 949-259-3095
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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 | RPH 73764
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License Number State | CA
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