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General NPI Number Information
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NPI Number | 1609027663
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Entity Type | Organization
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Legal Business Name | RALEYS
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 2389 WINGFIELD HILLS ROAD
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City | SPARKS
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State | NV
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Zip | 89436
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Country | US
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Telephone | 775-626-7720
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Fax | 775-626-6008
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Provider Business Mailing Address
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Address Line | 500 WEST CAPITOL AVE.
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City | WEST SACRAMENTO
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State | CA
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Zip | 95605-2696
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Country | US
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Telephone | 916-373-6394
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Fax | 916-372-6226
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Authorized Official
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Title or Position | SECRETART
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Name | HELEN S SINGMASTER
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Credential |
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Telephone | 916-373-6394
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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 | PH02452
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License Number State | NV
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