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General NPI Number Information
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NPI Number | 1821239112
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Entity Type | Organization
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Legal Business Name | GARDNER FAMILY HEALTH NETWORK INC
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 10/09/2009
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Provider Practice Location Address
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Address Line | 7526 MONTEREY ST
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City | GILROY
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State | CA
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Zip | 95020-5826
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Country | US
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Telephone | 408-848-9494
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Fax | 408-848-9496
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Provider Business Mailing Address
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Address Line | 7526 MONTEREY ST
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City | GILROY
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State | CA
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Zip | 95020-5826
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Country | US
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Telephone | 408-848-9494
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Fax | 408-848-9496
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | HELEN TONG
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Credential |
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Telephone | 408-918-2613
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 49270
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License Number State | CA
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