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General NPI Number Information
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NPI Number | 1831477942
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Entity Type | Organization
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Legal Business Name | HONG SHONG ENTERPRISES INC
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 07/05/2013
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Provider Practice Location Address
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Address Line | 865 PATRIOT DR STE 103
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City | MOORPARK
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State | CA
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Zip | 93021-3407
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Country | US
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Telephone | 805-523-8300
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Fax | 805-523-8333
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Provider Business Mailing Address
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Address Line | 865 PATRIOT DR SUITE 103
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City | MOORPARK
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State | CA
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Zip | 93021-3407
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Country | US
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Telephone | 805-523-8300
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER/BUSINESS MANAGER
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Name | PETER WANG
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Credential |
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Telephone | 805-990-8555
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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 | 3336C0004X
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Taxonomy Name | Compounding 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 | PHY50652
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License Number State | CA
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