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General NPI Number Information
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NPI Number | 1255745485
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Entity Type | Individual
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Provider Name | DENNIS ELEK RPH
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Gender | Male
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 06/16/2014
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Provider Practice Location Address
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Address Line | 456 S MADERA AVE
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City | KERMAN
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State | CA
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Zip | 93630-1538
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Country | US
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Telephone | 559-846-7115
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Fax | 559-846-9756
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Provider Business Mailing Address
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Address Line | 1248 E LOMA LINDA AVE
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City | FRESNO
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State | CA
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Zip | 93720-2667
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Country | US
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Telephone | 559-917-9301
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | RPH27007
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License Number State | CA
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