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General NPI Number Information
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NPI Number | 1497634240
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Entity Type | Organization
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Legal Business Name | OAK HEALTHCARE INC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 2339 W HAMMER LN STE J
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City | STOCKTON
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State | CA
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Zip | 95209-2368
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Country | US
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Telephone | 209-477-7100
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Fax | 209-477-7111
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Provider Business Mailing Address
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Address Line | 2339 W HAMMER LN STE J
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City | STOCKTON
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State | CA
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Zip | 95209-2368
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Country | US
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Telephone | 209-477-7100
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Fax | 209-477-7111
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Authorized Official
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Title or Position | PHARMACIST / PHARMACY MANAGER
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Name | DR. AMIR TAJ KHAN
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Credential | PHARM.D.
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Telephone | 209-471-5426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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