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General NPI Number Information
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NPI Number | 1306263264
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF SOUTHERN CALIFORNIA
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 830 S FLOWER ST
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City | LOS ANGELES
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State | CA
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Zip | 90017-4608
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Country | US
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Telephone | 213-486-8652
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Fax | 323-865-9364
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Provider Business Mailing Address
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Address Line | PO BOX 33227
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City | LOS ANGELES
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State | CA
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Zip | 90033-0227
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Country | US
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Telephone | 323-442-8500
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | CAROLINE CHELLAMY
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Credential | PHARMD
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Telephone | 323-865-3545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic 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 | PHY 51725
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License Number State | CA
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