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General NPI Number Information
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NPI Number | 1568199198
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Entity Type | Organization
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Legal Business Name | COUNTY OF RIVERSIDE
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 14375 NASON ST STE 109
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City | MORENO VALLEY
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State | CA
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Zip | 92555-4730
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Country | US
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Telephone | 951-486-4393
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Fax |
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Provider Business Mailing Address
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Address Line | 14375 NASON ST STE 109
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City | MORENO VALLEY
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State | CA
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Zip | 92555-4730
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Country | US
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Telephone | 951-486-4393
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Fax |
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Authorized Official
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Title or Position | SUPERVISING CLINICAL PHARMACIST
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Name | THU KIEU NGUYEN HUYNH
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Credential |
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Telephone | 951-486-4613
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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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