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General NPI Number Information
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NPI Number | 1811052202
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Entity Type | Organization
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Legal Business Name | M AND T ENTERPRISES, INC.
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 2445 OROVILLE DAM BOULEVARD SUITE 9
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City | OROVILLE
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State | CA
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Zip | 95966
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Country | US
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Telephone | 530-532-9555
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Fax | 530-534-1436
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Provider Business Mailing Address
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Address Line | 2445 OROVILLE DAM BLVD SUITE 9
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City | OROVILLE
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State | CA
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Zip | 95966
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Country | US
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Telephone | 530-532-9555
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Fax | 530-534-1436
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Authorized Official
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Title or Position | PHARMACIST / OWNER
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Name | MR. MICHAEL J PALMER
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Credential | RPH
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Telephone | 530-532-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 36865
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License Number State | CA
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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 | 36865
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License Number State | CA
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