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General NPI Number Information
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NPI Number | 1730118795
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Entity Type | Organization
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Legal Business Name | SAFEWAY INC
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 02/12/2015
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Provider Practice Location Address
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Address Line | 7150 LEETSDALE DR
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City | DENVER
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State | CO
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Zip | 80224-3529
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Country | US
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Telephone | 303-377-7116
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Fax | 303-355-4177
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Provider Business Mailing Address
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Address Line | 5918 STONERIDGE MALL RD
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City | PLEASANTON
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State | CA
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Zip | 94588-3229
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Country | US
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Telephone | 925-467-2811
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Fax | 925-467-2802
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Authorized Official
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Title or Position | MANAGED CARE PLAN SPECIALIST
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Name | RITA CALARA
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Credential | CPHT
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Telephone | 925-467-2811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 228
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License Number State | CO
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Taxonomy #2
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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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