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General NPI Number Information
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NPI Number | 1396083705
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Entity Type | Organization
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Legal Business Name | THAI ENTERPRISES INC
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Dates
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Enumeration Date | 01/18/2013
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Last Update Date | 11/01/2013
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Provider Practice Location Address
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Address Line | 9814 GARVEY AVE # 24-25
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City | EL MONTE
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State | CA
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Zip | 91733-1290
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Country | US
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Telephone | 626-579-1270
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Fax |
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Provider Business Mailing Address
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Address Line | 9814 GARVEY AVE # 24-25
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City | EL MONTE
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State | CA
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Zip | 91733-1290
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Country | US
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Telephone | 626-579-1270
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Fax | 626-579-1295
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN QUY THAI
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Credential | PHARM.D.
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Telephone | 626-579-1270
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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 | CA
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