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General NPI Number Information
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NPI Number | 1245363159
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Entity Type | Organization
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Legal Business Name | EL CAMINO HOSPITAL PHARMACY
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2500 GRANT RD
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4302
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Country | US
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Telephone | 650-940-7011
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Fax | 650-966-9332
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Provider Business Mailing Address
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Address Line | 2500 GRANT RD
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4302
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Country | US
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Telephone | 650-940-7011
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Fax | 650-966-9332
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | BOB BLAIR
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Credential |
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Telephone | 650-940-7019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | HSP39033
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License Number State | CA
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