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General NPI Number Information
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NPI Number | 1568961076
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Entity Type | Organization
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Legal Business Name | CAREPLUS DRUGS
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Dates
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Enumeration Date | 02/10/2018
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 4177 W SHAW AVE STE 109
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City | FRESNO
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State | CA
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Zip | 93722-6221
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Country | US
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Telephone | 559-385-7413
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Fax | 559-981-2297
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Provider Business Mailing Address
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Address Line | 3530 PORTALS AVE
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City | CLOVIS
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State | CA
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Zip | 93619-8982
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KAMALDEEP KAINTH
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Credential |
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Telephone | 559-385-7413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 55939
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License Number State | CA
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