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General NPI Number Information
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NPI Number | 1245350230
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Entity Type | Organization
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Legal Business Name | NEW CENTURY PHARMACY
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 8227 WOODMAN AVE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5426
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Country | US
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Telephone | 818-989-2333
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Fax | 818-989-2675
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Provider Business Mailing Address
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Address Line | 8227 WOODMAN AVE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5426
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Country | US
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Telephone | 818-989-2333
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Fax | 818-989-2675
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. JASON MYOUNGJOON KIM
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Credential | PHARMD
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Telephone | 818-989-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHY45171
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License Number State | CA
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