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General NPI Number Information
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NPI Number | 1922152321
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Entity Type | Organization
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Legal Business Name | DONA PHARMACY
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/16/2008
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Provider Practice Location Address
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Address Line | 3610 W 1ST ST STE B
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City | SANTA ANA
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State | CA
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Zip | 92703-3315
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Country | US
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Telephone | 714-839-7393
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Fax | 714-839-7498
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Provider Business Mailing Address
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Address Line | 3610 W 1ST ST STE B
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City | SANTA ANA
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State | CA
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Zip | 92703-3315
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Country | US
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Telephone | 714-839-7393
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Fax | 714-839-7498
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Authorized Official
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Title or Position | OWNER
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Name | QUOC QUANG LE
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Credential |
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Telephone | 714-839-7393
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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 | PHY41266
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License Number State | CA
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