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General NPI Number Information
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NPI Number | 1659417343
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Entity Type | Organization
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Legal Business Name | DEANNA T ON
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 6665 STOCKTON BLVD STE 6
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City | SACRAMENTO
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State | CA
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Zip | 95823-1634
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Country | US
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Telephone | 916-392-3488
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Fax | 916-392-3489
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Provider Business Mailing Address
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Address Line | PO BOX 245036
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City | SACRAMENTO
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State | CA
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Zip | 95824-5036
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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 | PHRM D
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Name | TOAN ON
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Credential |
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Telephone | 916-392-3488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY45648
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License Number State | CA
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