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General NPI Number Information
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NPI Number | 1326094798
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Entity Type | Organization
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Legal Business Name | GELSONS MARKETS
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 1736 E AVENIDA DE LOS ARBOLES
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-1301
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Country | US
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Telephone | 805-493-8001
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Fax | 805-493-5490
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Provider Business Mailing Address
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Address Line | 1736 E AVENIDA DE LOS ARBOLES
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-1301
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Country | US
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Telephone | 805-493-8001
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Fax | 805-493-5490
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Authorized Official
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Title or Position | PRES
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Name | ROBERT MCDOUGALL
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Credential |
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Telephone | 818-906-5721
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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 | 54001
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License Number State | CA
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