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General NPI Number Information
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NPI Number | 1003245028
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Entity Type | Organization
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Legal Business Name | K NZ CORP
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 9800 TOPANGA CANYON BLVD UNIT B
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City | CHATSWORTH
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State | CA
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Zip | 91311-4076
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Country | US
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Telephone | 818-727-7530
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Fax | 818-727-7872
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Provider Business Mailing Address
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Address Line | 9800 TOPANGA CANYON BLVD UNIT B
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City | CHATSWORTH
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State | CA
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Zip | 91311-4076
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Country | US
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Telephone | 818-727-7530
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Fax | 818-727-7872
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Authorized Official
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Title or Position | CEO
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Name | FABRICE N'GUESSAN-ZEKRE
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Credential | PHARM.D
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Telephone | 818-671-7377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 51690
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License Number State | CA
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