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General NPI Number Information
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NPI Number | 1447051370
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Entity Type | Organization
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Legal Business Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 4250 1ST AVE RM 1-601
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City | SAN DIEGO
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State | CA
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Zip | 92103
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Country | US
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Telephone | 619-471-0230
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Fax | 619-543-7791
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Provider Business Mailing Address
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Address Line | PO BOX 743475
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City | LOS ANGELES
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State | CA
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Zip | 90074-3475
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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 | PHARMACY DIRECTOR
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Name | TRACEY JANE SPANGENBERG
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Credential |
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Telephone | 619-543-6194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic 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 | 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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