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General NPI Number Information
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NPI Number | 1396026316
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Entity Type | Organization
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Legal Business Name | MOC & PATEL
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Dates
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Enumeration Date | 09/03/2011
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 3150 COLIMA RD STE B
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-6356
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Country | US
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Telephone | 626-333-7878
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Fax | 626-333-7171
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Provider Business Mailing Address
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Address Line | 3150 COLIMA RD STE B
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-6356
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Country | US
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Telephone | 626-333-7878
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Fax | 626-333-7171
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | HEIDI MOC
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Credential |
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Telephone | 626-333-7878
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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 | PHY50684
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License Number State | CA
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