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General NPI Number Information
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NPI Number | 1609209352
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Entity Type | Organization
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Legal Business Name | SANTA BARBARA SPECIALTY PHARMACY LLC
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Dates
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Enumeration Date | 08/16/2013
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 4690 CARPINTERIA AVE STE B
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City | CARPINTERIA
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State | CA
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Zip | 93013-1875
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Country | US
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Telephone | 805-770-2061
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Fax | 805-456-0416
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Provider Business Mailing Address
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Address Line | 376 NORTHLAKE BLVD STE 1008
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5261
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Country | US
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Telephone | 888-292-0744
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Fax | 833-670-2942
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Authorized Official
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Title or Position | COO
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Name | ELVIN MONTANEZ
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Credential |
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Telephone | 888-292-0744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy 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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 55695
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License Number State | CA
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