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General NPI Number Information
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NPI Number | 1669908174
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Entity Type | Individual
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Provider Name | GREGG MORIOKA PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 05/03/2017
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 7465 RUSH RIVER DR SUITE 500
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City | SACRAMENTO
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State | CA
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Zip | 95831-5255
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Country | US
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Telephone | 916-391-1289
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Fax | 916-391-7847
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Provider Business Mailing Address
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Address Line | 7465 RUSH RIVER DR SUITE 500
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City | SACRAMENTO
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State | CA
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Zip | 95831-5255
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Country | US
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Telephone | 916-391-1289
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Fax | 916-391-7847
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 38363
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License Number State | CA
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