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General NPI Number Information
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NPI Number | 1972968204
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE PHARMACY SOLUTIONS, INC
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 16205 SAND CANYON AVE SUITE 105
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City | IRVINE
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State | CA
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Zip | 92618-3781
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Country | US
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Telephone | 949-387-0780
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Fax | 949-387-0784
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Provider Business Mailing Address
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Address Line | 16205 SAND CANYON AVE SUITE 105
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City | IRVINE
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State | CA
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Zip | 92618-3781
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Country | US
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Telephone | 949-387-0780
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Fax | 949-387-0784
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Authorized Official
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Title or Position | VP, PIC, AO
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Name | RANI DIBBINI
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Credential |
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Telephone | 818-970-4987
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 53835
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License Number State | CA
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