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General NPI Number Information
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NPI Number | 1124748157
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Entity Type | Organization
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Legal Business Name | EVEXIA HEALTH
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 9902 BRIMHALL RD STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2801
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Country | US
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Telephone | 661-829-7861
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Fax | 661-829-7862
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Provider Business Mailing Address
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Address Line | PO BOX 21046
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City | BAKERSFIELD
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State | CA
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Zip | 93390-1046
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Country | US
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Telephone | 661-829-7861
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Fax | 661-829-7862
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Authorized Official
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Title or Position | CFO
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Name | AMER JAWICH
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Credential | RPH
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Telephone | 661-829-7861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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