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General NPI Number Information
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NPI Number | 1447321765
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Entity Type | Organization
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Legal Business Name | NEW HOPE PHARMACY INC
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 535 W 130TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90061-1180
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Country | US
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Telephone | 310-349-0600
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Fax | 424-244-3034
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Provider Business Mailing Address
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Address Line | 535 W 130TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90061-1180
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Country | US
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Telephone | 310-349-0600
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Fax | 424-244-3034
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | MR. CARY ROSSEL
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Credential |
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Telephone | 972-248-1415
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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 | PHY 52379
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | PHY 52379
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License Number State | CA
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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 | PHY 52379
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License Number State | CA
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