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General NPI Number Information
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NPI Number | 1124157532
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Entity Type | Organization
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Legal Business Name | MMP ENTERPRISES INC.
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 931 S EUCLID ST
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City | ANAHEIM
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State | CA
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Zip | 92802-1522
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Country | US
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Telephone | 714-533-1337
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Fax | 714-533-6930
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Provider Business Mailing Address
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Address Line | 931 S EUCLID ST
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City | ANAHEIM
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State | CA
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Zip | 92802-1522
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Country | US
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Telephone | 714-533-1337
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Fax | 714-533-6930
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. GREGORY DALLAL
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Credential | PHARM D.
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Telephone | 714-533-1337
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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 |
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License Number State |
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