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General NPI Number Information
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NPI Number | 1376686089
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Entity Type | Organization
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Legal Business Name | DONALD B. FOX
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2100 MONUMENT BLVD STE 20
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City | PLEASANT HILL
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State | CA
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Zip | 94523-3400
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Country | US
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Telephone | 925-685-0147
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Fax | 925-685-0308
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Provider Business Mailing Address
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Address Line | 2100 MONUMENT BLVD STE 20
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City | PLEASANT HILL
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State | CA
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Zip | 94523-3400
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Country | US
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Telephone | 925-685-0147
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Fax | 925-685-0308
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | MR. DONALD BLAIR FOX SR.
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Credential | R.PH.
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Telephone | 925-685-0147
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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 | 27518
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License Number State | CA
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