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General NPI Number Information
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NPI Number | 1194730721
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Entity Type | Organization
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Legal Business Name | CFHS HOLDINGS, INC.
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 777 E 15TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90021-2121
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Country | US
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Telephone | 213-745-2333
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Fax | 213-745-2324
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Provider Business Mailing Address
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Address Line | PO BOX 261455
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City | ENCINO
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State | CA
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Zip | 91426-1455
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Country | US
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Telephone | 213-745-2333
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Fax | 213-745-2324
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JACK DONITZ
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Credential |
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Telephone | 213-745-2333
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY47361
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License Number State | CA
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