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General NPI Number Information
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NPI Number | 1891103537
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Entity Type | Organization
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Legal Business Name | CINEMMA PHARMACEUTICALS INC
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | 4130 FLAT ROCK DR UNIT 150
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City | RIVERSIDE
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State | CA
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Zip | 92505-5867
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Country | US
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Telephone | 888-639-3127
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Fax | 888-638-7821
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Provider Business Mailing Address
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Address Line | 4130 FLAT ROCK DR UNIT 150
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City | RIVERSIDE
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State | CA
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Zip | 92505-5867
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Country | US
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Telephone | 888-639-3127
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Fax | 888-638-7821
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Authorized Official
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Title or Position | PRESIDENT/PIC
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Name | DR. CINDY LE
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Credential | PHARM D
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Telephone | 888-639-3127
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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 | PHY 51824
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License Number State | CA
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