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General NPI Number Information
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NPI Number | 1912005018
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Entity Type | Individual
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Provider Name | CHARLES J. DOBBS R.PH., MBA
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 436 S RIVERSIDE AVE
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City | RIALTO
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State | CA
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Zip | 92376-6523
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Country | US
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Telephone | 909-875-7260
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Fax | 909-875-7265
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Provider Business Mailing Address
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Address Line | 17632 WHITNEY DR
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City | NORTH TUSTIN
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State | CA
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Zip | 92705-1848
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 42895
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License Number State | CA
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