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General NPI Number Information
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NPI Number | 1659826501
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Entity Type | Organization
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Legal Business Name | HOSPICARE PHARMACY SAN DIEGO
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Dates
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Enumeration Date | 08/22/2016
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 910 E OHIO AVE STE 101A
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City | ESCONDIDO
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State | CA
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Zip | 92025-3439
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Country | US
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Telephone | 619-434-5350
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Fax | 619-434-5359
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Provider Business Mailing Address
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Address Line | 910 E OHIO AVE STE 101A
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City | ESCONDIDO
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State | CA
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Zip | 92025-3438
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Country | US
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Telephone | 619-434-5350
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Fax | 619-434-5359
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Authorized Official
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Title or Position | PIC
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Name | DANIEL LEE
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Credential |
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Telephone | 619-434-5350
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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 | 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 #3
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 54522
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License Number State | CA
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