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General NPI Number Information
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NPI Number | 1033477930
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Entity Type | Organization
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Legal Business Name | TAFT PHARMACEUTICAL INC
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Dates
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Enumeration Date | 04/27/2012
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 5421 W 1ST ST
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City | SANTA ANA
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State | CA
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Zip | 92703-3005
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Country | US
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Telephone | 714-209-5678
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Fax | 714-769-6477
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Provider Business Mailing Address
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Address Line | 5421 W 1ST ST
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City | SANTA ANA
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State | CA
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Zip | 92703-3005
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Country | US
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Telephone | 714-209-5678
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MS. DIEP N VU
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Credential |
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Telephone | 714-209-5678
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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 | PHY50902
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License Number State | CA
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