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General NPI Number Information
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NPI Number | 1467119354
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Entity Type | Organization
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Legal Business Name | GOLDEN GATE PHARMACY SERVICES INC
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Dates
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Enumeration Date | 11/26/2021
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Last Update Date | 11/26/2021
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Provider Practice Location Address
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Address Line | 8 DIGITAL DR STE 200
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City | NOVATO
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State | CA
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Zip | 94949-8705
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Country | US
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Telephone | 415-455-9042
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Fax | 415-455-9318
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Provider Business Mailing Address
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Address Line | 8 DIGITAL DR STE 200
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City | NOVATO
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State | CA
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Zip | 94949-8705
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Country | US
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Telephone | 415-455-9042
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Fax | 415-455-9318
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | DR. NICOLE MARIE CLAUSEN
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Credential | PHARMD
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Telephone | 415-455-9042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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