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General NPI Number Information
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NPI Number | 1366489031
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Entity Type | Organization
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Legal Business Name | ALBERTSONS LLC
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 12/30/2008
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Provider Practice Location Address
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Address Line | 1750 N MAIN ST
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City | LONGMONT
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State | CO
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Zip | 80501-2036
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Country | US
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Telephone | 303-776-2168
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Fax | 303-774-7798
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Provider Business Mailing Address
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Address Line | 3030 CULLERTON ST
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City | FRANKLIN PARK
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State | IL
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Zip | 60131-2205
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER PLAN IMPLEMENTATION
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Name | JULIE SCHREINER
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Credential |
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Telephone | 847-916-4711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 800000002
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License Number State | CO
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