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General NPI Number Information
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NPI Number | 1093150120
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Entity Type | Organization
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Legal Business Name | CHETZ INTERNATIONAL, INC.
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Dates
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Enumeration Date | 05/02/2013
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 941 YORK DR STE 201
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City | DESOTO
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State | TX
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Zip | 75115-2066
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Country | US
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Telephone | 972-780-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 916 PECAN TRL
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City | CEDAR HILL
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State | TX
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Zip | 75104-3168
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Country | US
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Telephone | 512-626-8899
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. BENJAMIN OKUCHE
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Credential | BSC
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Telephone | 972-780-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28432
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License Number State | TX
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