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General NPI Number Information
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NPI Number | 1053305268
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL PHARMACY CARE INC.
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 811 GRAND AVE SUITE A2
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City | SACRAMENTO
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State | CA
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Zip | 95838-3466
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Country | US
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Telephone | 916-922-4512
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Fax | 916-922-2540
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Provider Business Mailing Address
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Address Line | 811 GRAND AVE SUITE A2
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City | SACRAMENTO
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State | CA
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Zip | 95838-3466
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Country | US
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Telephone | 916-922-4512
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Fax | 916-922-2540
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Authorized Official
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Title or Position | CEO
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Name | MRS. TERESA MOSSKELNHOFER
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Credential |
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Telephone | 916-922-4512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 4433750001
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State | CA
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