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General NPI Number Information
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NPI Number | 1336437953
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Entity Type | Organization
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Legal Business Name | AJL CONSULTING
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Dates
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Enumeration Date | 07/17/2011
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Last Update Date | 07/17/2011
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Provider Practice Location Address
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Address Line | 10408 ESCADERA DR
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City | LAKESIDE
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State | CA
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Zip | 92040-2226
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Country | US
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Telephone | 619-449-9153
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 712212
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City | SANTEE
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State | CA
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Zip | 92072-2212
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Country | US
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Telephone | 619-449-9153
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ALBERT JOHN LANCE
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Credential |
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Telephone | 619-449-9153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | RPH 29158
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License Number State | CA
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