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General NPI Number Information
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NPI Number | 1205637808
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Entity Type | Organization
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Legal Business Name | KATE PHARMACEUTICAL CORP
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 13394 LIMONITE AVE STE B120
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City | EASTVALE
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State | CA
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Zip | 92880-7272
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Country | US
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Telephone | 951-444-6788
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Fax | 951-444-6777
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Provider Business Mailing Address
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Address Line | 13394 LIMONITE AVE STE B120
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City | EASTVALE
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State | CA
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Zip | 92880-7272
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Country | US
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Telephone | 951-444-6788
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Fax | 951-444-6777
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Authorized Official
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Title or Position | PHARMACIST
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Name | MORA ANTOUN
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Credential |
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Telephone | 217-240-2174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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