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General NPI Number Information
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NPI Number | 1609201706
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Entity Type | Organization
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Legal Business Name | ESCONDIDO PHARMACY AND DME INC
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Dates
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Enumeration Date | 09/08/2013
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Last Update Date | 10/22/2013
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Provider Practice Location Address
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Address Line | 909 E VALLEY PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92025-3428
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Country | US
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Telephone | 760-741-9804
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Fax | 760-480-6317
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Provider Business Mailing Address
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Address Line | 909 E VALLEY PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92025-3428
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Country | US
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Telephone | 760-741-9804
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Fax | 760-480-6317
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NAMVAR TAGHIPOUR
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Credential | RPH
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Telephone | 760-741-9804
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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 |
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License Number State | CA
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