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General NPI Number Information
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NPI Number | 1134740582
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Entity Type | Organization
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Legal Business Name | CJ3M CORPORATION
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Dates
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Enumeration Date | 04/27/2020
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Last Update Date | 12/23/2020
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Provider Practice Location Address
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Address Line | 2626 EL CAMINO REAL STE A
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City | CARLSBAD
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State | CA
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Zip | 92008-1253
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Country | US
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Telephone | 760-994-0900
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Fax | 760-994-0919
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Provider Business Mailing Address
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Address Line | PO BOX 130803
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City | CARLSBAD
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State | CA
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Zip | 92013-0803
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CUONG DUONG
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Credential | PHARMD
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Telephone | 760-994-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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