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General NPI Number Information
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NPI Number | 1316041361
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Entity Type | Organization
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Legal Business Name | CMP CONCEPTS INC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 07/06/2011
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Provider Practice Location Address
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Address Line | 2940 SUMMIT ST STE 2F
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City | OAKLAND
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State | CA
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Zip | 94609-3416
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Country | US
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Telephone | 510-628-0640
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Fax | 510-291-9856
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Provider Business Mailing Address
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Address Line | 2940 SUMMIT ST STE 2F
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City | OAKLAND
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State | CA
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Zip | 94609-3416
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Country | US
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Telephone | 510-628-0640
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Fax | 510-291-9856
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROGER TAYLOR
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Credential |
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Telephone | 510-628-0640
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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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PHY48199
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License Number State | CA
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