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General NPI Number Information
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NPI Number | 1841303542
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Entity Type | Organization
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Legal Business Name | CAL OASIS CORPOATION
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 19041 COLIMA RD
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-2922
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Country | US
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Telephone | 800-905-5562
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Fax | 800-971-0772
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Provider Business Mailing Address
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Address Line | 19041 COLIMA RD
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-2922
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Country | US
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Telephone | 800-905-5562
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Fax | 800-971-0772
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. RICHARD PAUL LACSON
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Credential |
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Telephone | 800-905-5562
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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 | PHY47548
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License Number State | CA
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