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General NPI Number Information
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NPI Number | 1578791539
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Entity Type | Organization
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Legal Business Name | NORTH COUNTY PATIENTS COLLECTIVE ASSOCIATION
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 06/30/2009
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Provider Practice Location Address
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Address Line | 2361 W WHITTIER BLVD
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City | LA HABRA
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State | CA
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Zip | 90631-3404
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Country | US
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Telephone | 562-691-9100
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Fax | 562-691-9113
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Provider Business Mailing Address
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Address Line | 2361 W WHITTIER BLVD
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City | LA HABRA
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State | CA
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Zip | 90631-3404
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Country | US
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Telephone | 562-691-9100
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Fax | 562-691-9113
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARY DOUGLAS GRIGGS
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Credential |
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Telephone | 562-691-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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