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General NPI Number Information
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NPI Number | 1073065231
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Entity Type | Organization
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Legal Business Name | TEN PHARMACY INC
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Dates
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Enumeration Date | 11/03/2016
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 15250 WHITTIER BLVD
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City | WHITTIER
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State | CA
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Zip | 90603-1334
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Country | US
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Telephone | 562-283-8999
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Fax |
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Provider Business Mailing Address
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Address Line | 960 N TUSTIN ST STE 388
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City | ORANGE
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State | CA
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Zip | 92867-5956
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Country | US
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Telephone | 562-283-8999
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JACQUELINE VU
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Credential |
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Telephone | 562-283-8999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 55111
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License Number State | CA
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