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General NPI Number Information
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NPI Number | 1679582662
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Entity Type | Organization
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Legal Business Name | FIVE PHARMS, INC.
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 2336 EYE STREET
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4012
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Country | US
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Telephone | 661-323-2925
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Fax | 661-716-0292
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Provider Business Mailing Address
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Address Line | 2336 EYE ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4012
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Country | US
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Telephone | 661-323-2925
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Fax | 661-716-0292
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. DALE R TAYLOR
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Credential | RPH
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Telephone | 661-324-2545
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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 | RPH37875
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHY47166
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License Number State | CA
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