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General NPI Number Information
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NPI Number | 1700319274
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Entity Type | Organization
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Legal Business Name | GELSON'S MARKETS
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 4520 VAN NUYS BLVD
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2913
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Country | US
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Telephone | 818-377-4140
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Fax | 818-377-4140
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Provider Business Mailing Address
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Address Line | PO BOX 512256
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City | LOS ANGELES
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State | CA
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Zip | 90051-0256
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Country | US
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Telephone | 310-761-4511
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Fax | 310-634-0998
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Authorized Official
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Title or Position | SENIOR DIRECTOR OF PHARMACY
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Name | STEWART EDINGTON
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Credential |
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Telephone | 310-761-4510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail 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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 55489
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License Number State | CA
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