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General NPI Number Information
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NPI Number | 1033217344
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Entity Type | Organization
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Legal Business Name | CLEANMASTER INDUSTRIES INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7739 INDUSTRY AVE
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City | PICO RIVERA
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State | CA
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Zip | 90660-4303
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Country | US
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Telephone | 562-222-2286
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Fax | 562-222-2287
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Provider Business Mailing Address
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Address Line | 7739 INDUSTRY AVE
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City | PICO RIVERA
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State | CA
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Zip | 90660-4303
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Country | US
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Telephone | 562-222-2286
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Fax | 562-222-2287
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH KAHAN
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Credential |
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Telephone | 562-222-2286
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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 | PHY43339
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License Number State | CA
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