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General NPI Number Information
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NPI Number | 1578639308
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Entity Type | Organization
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Legal Business Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 3575 BUSINESS DRIVE SUITE 1702
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City | SACRAMENTO
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State | CA
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Zip | 95820
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Country | US
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Telephone | 916-734-0900
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Fax | 916-703-5194
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Provider Business Mailing Address
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Address Line | 2315 STOCKTON BLVD ATTN: PHARMACY ADMINISTRATION
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City | SACRAMENTO
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State | CA
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Zip | 95817-2201
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Country | US
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Telephone | 916-734-3305
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JENNIFER DOLL
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Credential |
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Telephone | 916-734-9446
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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 | PHE37805
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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