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General NPI Number Information
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NPI Number | 1740650092
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Entity Type | Organization
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Legal Business Name | ALPHASCRIPT
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Dates
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Enumeration Date | 09/30/2015
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Last Update Date | 09/30/2015
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Provider Practice Location Address
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Address Line | 1160 INDUSTRIAL RD STE 17
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City | SAN CARLOS
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State | CA
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Zip | 94070-4128
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Country | US
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Telephone | 800-780-3584
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 INDUSTRIAL RD STE 17
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City | SAN CARLOS
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State | CA
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Zip | 94070-4128
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. RUSSELL A ZUKIN
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Credential | RPH
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Telephone | 650-346-3260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 47020
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License Number State | CA
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