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General NPI Number Information
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NPI Number | 1093097685
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Entity Type | Individual
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Provider Name | MRS. MARIE-CLAIRE CALEJA AGCAOILI
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Gender | Female
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 1050 REDWOOD ST
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City | VALLEJO
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State | CA
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Zip | 94590-2955
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Country | US
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Telephone | 707-557-6948
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Fax |
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Provider Business Mailing Address
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Address Line | 901 NEVIN AVE
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City | RICHMOND
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State | CA
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Zip | 94801-3143
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Country | US
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Telephone | 510-307-1515
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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 | CA58071
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License Number State | CA
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