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General NPI Number Information
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NPI Number | 1235648767
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Entity Type | Organization
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Legal Business Name | SEROUR, INC.
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 09/27/2017
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Provider Practice Location Address
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Address Line | 27534 SIERRA HWY
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City | SANTA CLARITA
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State | CA
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Zip | 91351-3088
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Country | US
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Telephone | 661-886-2333
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Fax |
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Provider Business Mailing Address
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Address Line | 29120 N WEST HILLS DR
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City | VALENCIA
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State | CA
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Zip | 91354-3057
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Country | US
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Telephone | 661-886-2333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FADY SEROUR
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Credential |
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Telephone | 661-886-2333
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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 | 55819
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License Number State | CA
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