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General NPI Number Information
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NPI Number | 1225481831
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Entity Type | Organization
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Legal Business Name | AMERICAN HEALTH CARE
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 3850 ATHERTON RD
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City | ROCKLIN
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State | CA
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Zip | 95765-3700
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Country | US
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Telephone | 916-773-7227
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Fax |
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Provider Business Mailing Address
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Address Line | 3850 ATHERTON RD
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City | ROCKLIN
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State | CA
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Zip | 95765-3700
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Country | US
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Telephone | 916-773-7227
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Fax |
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Authorized Official
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Title or Position | CLINICAL PHARMACIST
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Name | DR. MAZIN BOUSHAKRA
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Credential | PHARMD
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Telephone | 916-773-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State | CA
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