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General NPI Number Information
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NPI Number | 1841208691
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Entity Type | Organization
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Legal Business Name | FIVE PHARMS
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 07/02/2015
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Provider Practice Location Address
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Address Line | 2323 16TH ST STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93301-3420
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Country | US
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Telephone | 661-324-2545
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Fax | 661-324-9644
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Provider Business Mailing Address
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Address Line | 2336 EYE ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4012
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Country | US
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Telephone | 661-989-2925
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Fax | 661-327-7860
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Authorized Official
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Title or Position | PRESIDENT
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Name | DALE TAYLOR
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Credential |
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Telephone | 661-323-2925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY43303
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License Number State | CA
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