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General NPI Number Information
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NPI Number | 1255991485
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH ALLIANCE OF PASADENA
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 1855 N FAIR OAKS AVE STE 100
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City | PASADENA
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State | CA
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Zip | 91103-1620
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Country | US
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Telephone | 626-993-1238
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Fax |
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Provider Business Mailing Address
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Address Line | 455 W MONTANA ST
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City | PASADENA
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State | CA
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Zip | 91103-1327
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Country | US
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Telephone | 626-993-1238
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Fax | 626-993-1288
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Authorized Official
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Title or Position | BUSINESS OPERATIONS MANAGER
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Name | MARCELLA CHAVEZ
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Credential |
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Telephone | 626-993-1238
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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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