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General NPI Number Information
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NPI Number | 1760763239
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Entity Type | Organization
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Legal Business Name | CAL-MEX SPECIAL SERVICES INC
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | 337 PAULIN AVE STE 1A
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City | CALEXICO
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State | CA
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Zip | 92231-2674
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Country | US
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Telephone | 928-210-0659
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Fax |
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Provider Business Mailing Address
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Address Line | 337 PAULIN AVE STE 1A
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City | CALEXICO
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State | CA
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Zip | 92231-2674
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Country | US
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Telephone | 928-210-0659
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Fax |
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Authorized Official
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Title or Position | PHARMCY DIRECTOR
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Name | MR. OLUGBENGA SOLOMON ODUYALE
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Credential | RPH
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Telephone | 760-357-1477
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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 | 50374
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License Number State | CA
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