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General NPI Number Information
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NPI Number | 1316935364
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Entity Type | Organization
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Legal Business Name | JOHN L SILBERSTEIN
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 04/28/2011
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Provider Practice Location Address
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Address Line | 12555 GARDEN GROVE BLVD #102
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1902
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Country | US
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Telephone | 714-636-0593
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Fax | 714-636-7708
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Provider Business Mailing Address
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Address Line | 12555 GARDEN GROVE BLVD #102
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1902
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Country | US
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Telephone | 714-636-0593
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Fax | 714-636-7708
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Authorized Official
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Title or Position | PHARMACIST - OWNER
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Name | MR. JOHN L SILBERSTEIN
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Credential | RPH
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Telephone | 714-636-0593
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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 | PHY30791
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License Number State | CA
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