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General NPI Number Information
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NPI Number | 1720163769
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Entity Type | Organization
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Legal Business Name | LA VOTRE RX
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 23928 LYONS AVE STE 201
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City | NEWHALL
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State | CA
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Zip | 91321-2454
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Country | US
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Telephone | 661-259-8039
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Fax | 661-259-8411
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Provider Business Mailing Address
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Address Line | 23928 LYONS AVE STE 201
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City | NEWHALL
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State | CA
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Zip | 91321-2454
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Country | US
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Telephone | 661-259-8039
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Fax | 661-259-8411
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. JOEL ABERGEL
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Credential | PHARM D.
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Telephone | 661-259-8039
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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 | PHY43703
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License Number State | CA
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