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General NPI Number Information
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NPI Number | 1972972396
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Entity Type | Individual
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Provider Name | BINCY ROSE THANNICKAL RPH
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Gender | Female
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 17010 CHATSWORTH ST
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City | GRANADA HILLS
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State | CA
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Zip | 91344-5844
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Country | US
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Telephone | 818-360-0871
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Fax |
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Provider Business Mailing Address
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Address Line | 25605 HOOD WAY
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City | STEVENSON RANCH
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State | CA
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Zip | 91381-1401
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Country | US
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Telephone | 818-251-0132
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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 | 60683
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License Number State | CA
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