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General NPI Number Information
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NPI Number | 1477197440
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Entity Type | Individual
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Provider Name | VINCENT MACH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/03/2019
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 10801 6TH ST
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-5977
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Country | US
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Telephone | 909-890-2986
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W VALLEY BLVD # 1007
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City | ALHAMBRA
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State | CA
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Zip | 91803-3338
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Country | US
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Telephone | 626-466-2168
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 80880
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License Number State | CA
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