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General NPI Number Information
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NPI Number | 1518287218
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Entity Type | Organization
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Legal Business Name | RITE AID INCORPORATION
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Dates
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Enumeration Date | 06/03/2010
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Last Update Date | 06/03/2010
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Provider Practice Location Address
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Address Line | 3548 CASTRO VALLEY BLV
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City | CASTRO VALLEY
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State | CA
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Zip | 94546
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Country | US
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Telephone | 510-886-1551
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Fax |
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Provider Business Mailing Address
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Address Line | 200 NEWBERRY COMMONS
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City | ETTERS
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State | PA
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Zip | 17319-9363
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Country | US
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Telephone | 650-341-3186
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Fax |
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Authorized Official
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Title or Position | RPH
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Name | MS. ADRIENNE PREISIG
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Credential |
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Telephone | 650-341-3186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 36063
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License Number State | CA
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