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General NPI Number Information
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NPI Number | 1316011836
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Entity Type | Organization
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Legal Business Name | C AND A MEDICAL INC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 01/18/2010
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Provider Practice Location Address
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Address Line | 488 E VALLEY PKWY STE 101
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City | ESCONDIDO
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State | CA
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Zip | 92025-3363
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Country | US
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Telephone | 760-489-1668
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Fax |
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Provider Business Mailing Address
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Address Line | 488 E VALLEY PKWY STE 101
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City | ESCONDIDO
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State | CA
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Zip | 92025-3363
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Country | US
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Telephone | 760-489-1668
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARYAM SHARAFSALEH
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Credential | RPH
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Telephone | 760-489-1668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY47124
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License Number State | CA
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