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General NPI Number Information
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NPI Number | 1750865812
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Entity Type | Organization
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Legal Business Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 16950 VIA TAZON STE 1B
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City | SAN DIEGO
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State | CA
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Zip | 92127-1607
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Country | US
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Telephone | 858-249-4103
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Fax | 858-675-1186
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Provider Business Mailing Address
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Address Line | PO BOX 743475
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City | LOS ANGELES
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State | CA
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Zip | 90074-3475
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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 | DIRECTOR, UCSD AMCARE PHARMACY
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Name | TRACEY SPANGENBERG
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Credential |
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Telephone | 858-249-4821
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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 |
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License Number State |
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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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