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General NPI Number Information
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NPI Number | 1508919010
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Entity Type | Organization
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Legal Business Name | TORRANCE MEMORIAL MED CTR PHY
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3330 LOMITA BLVD
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City | TORRANCE
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State | CA
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Zip | 90505-5002
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Country | US
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Telephone | 310-325-9110
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Fax |
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Provider Business Mailing Address
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Address Line | 3330 LOMITA BLVD
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City | TORRANCE
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State | CA
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Zip | 90505-5002
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Country | US
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Telephone | 310-325-9110
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Fax |
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | MR. STEVEN THOMPSON
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Credential | PHARM.D
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Telephone | 310-325-9110
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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 | PHY20520
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License Number State | CA
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