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General NPI Number Information
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NPI Number | 1487054839
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Entity Type | Organization
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Legal Business Name | ADVANCED RX CORONA LLC
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 320 BONNIE CIR
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City | CORONA
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State | CA
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Zip | 92878-4374
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Country | US
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Telephone | 951-256-8800
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Fax | 951-284-4594
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Provider Business Mailing Address
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Address Line | 320 BONNIE CIR
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City | CORONA
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State | CA
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Zip | 92878-4374
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Country | US
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Telephone | 951-256-8800
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Fax | 951-284-4594
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Authorized Official
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Title or Position | MEMBER
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Name | MANISHKUMAR TRIKAMBHAI PATEL
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Credential |
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Telephone | 951-256-8800
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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