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General NPI Number Information
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NPI Number | 1205978574
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Entity Type | Organization
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Legal Business Name | SUPER CARE INC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 2017 1 2 S. HACIENDA BLVD
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745
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Country | US
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Telephone | 626-330-3448
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Fax | 626-333-1251
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Provider Business Mailing Address
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Address Line | 8345 FIRESTONE BLVD STE 210
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City | DOWNEY
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State | CA
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Zip | 90241-3871
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Country | US
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Telephone | 888-260-2550
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Fax | 626-333-1251
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Authorized Official
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Title or Position | CEO
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Name | JOHN L CASSAR
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Credential |
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Telephone | 800-206-4880
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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 | PHY 37871
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License Number State | CA
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