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General NPI Number Information
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NPI Number | 1417219742
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Entity Type | Organization
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Legal Business Name | INFINITE HEALTH SOLUTIONS INC
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 113 WATERWORKS WAY STE 160A
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City | IRVINE
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State | CA
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Zip | 92618-3167
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Country | US
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Telephone | 949-788-9990
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Fax | 949-336-6466
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Provider Business Mailing Address
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Address Line | 113 WATERWORKS WAY STE 160A
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City | IRVINE
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State | CA
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Zip | 92618-3167
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Country | US
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Telephone | 949-788-9990
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Fax | 949-336-6466
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Authorized Official
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Title or Position | PRESIDENT/RPH
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Name | MR. MARC CHOANG
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Credential | PHARM D
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Telephone | 949-788-9990
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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 | PHY50976
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License Number State | CA
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