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General NPI Number Information
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NPI Number | 1376553297
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Entity Type | Organization
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Legal Business Name | HP BADESHA CO
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 130 W ROUTE 66 STE 104
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City | GLENDORA
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State | CA
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Zip | 91740-6250
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Country | US
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Telephone | 626-335-0288
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Fax | 626-335-1487
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Provider Business Mailing Address
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Address Line | 130 W ROUTE 66 STE 104
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City | GLENDORA
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State | CA
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Zip | 91740-6250
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Country | US
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Telephone | 626-335-0288
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Fax | 626-335-1487
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. PARAMJIT KAUR RANDHAWA
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Credential |
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Telephone | 626-335-0288
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY47517
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License Number State | CA
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