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General NPI Number Information
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NPI Number | 1295543155
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Entity Type | Organization
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Legal Business Name | GLENDALE ADVENTIST MEDICAL CENTER
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Dates
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Enumeration Date | 12/24/2024
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 1505 WILSON TERRACE #100
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City | GLENDALE
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State | CA
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Zip | 91206
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Country | US
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Telephone | 818-409-8319
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Fax | 818-863-4906
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Provider Business Mailing Address
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Address Line | 1505 WILSON TERRACE #100
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City | GLENDALE
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State | CA
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Zip | 91206
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Country | US
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Telephone | 818-409-8319
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Fax | 818-863-4906
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | ROMIC ESKANDARIAN
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Credential |
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Telephone | 818-720-4161
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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