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General NPI Number Information
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NPI Number | 1962158758
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Entity Type | Organization
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Legal Business Name | NEW CARE
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 12384 PALMDALE RD STE 105
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City | VICTORVILLE
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State | CA
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Zip | 92392-8506
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Country | US
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Telephone | 626-383-5711
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Fax |
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Provider Business Mailing Address
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Address Line | 6825 SAN RAFAEL CT
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City | FONTANA
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State | CA
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Zip | 92336-5064
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Country | US
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Telephone | 626-383-5711
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KIROLOS ANDRAWOS
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Credential |
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Telephone | 626-383-5711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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