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General NPI Number Information
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NPI Number | 1588833347
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Entity Type | Organization
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Legal Business Name | CHILDRENS HOSPITAL & RESEARCH CENTER AT OAKLAND
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 744 52ND ST SECOND FLOOR
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City | OAKLAND
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State | CA
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Zip | 94609-1810
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Country | US
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Telephone | 510-428-3851
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Fax | 510-597-7197
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Provider Business Mailing Address
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Address Line | 747 52ND ST
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City | OAKLAND
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State | CA
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Zip | 94609-1809
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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 | DIRECTOR OF PHARMACY
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Name | PATRICK FLEMING
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Credential | CPHT
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Telephone | 510-428-3851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number | PHY51803
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License Number State | CA
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