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General NPI Number Information
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NPI Number | 1669344339
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF CALIFORNIA IRVINE
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 19210 JAMBOREE ROAD
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City | IRVINE
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State | CA
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Zip | 90223
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Country | US
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Telephone | 714-456-5514
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 S STATE COLLEGE BLVD STE 400 ROUTE# 183
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City | ANAHEIM
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State | CA
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Zip | 92806-6153
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Country | US
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Telephone | 714-456-7890
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Fax |
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Authorized Official
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Title or Position | SR VP AND CFO
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Name | RANDOLPH SIWABESSY
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Credential |
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Telephone | 323-442-8747
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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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