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General NPI Number Information
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NPI Number | 1437219664
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Entity Type | Organization
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Legal Business Name | EXCELLENT HEALTH INC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 223 N GARFIELD AVE STE 101
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1700
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Country | US
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Telephone | 626-571-0154
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Fax | 626-571-1192
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Provider Business Mailing Address
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Address Line | 223 N GARFIELD AVE STE 101
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City | MONTEREY PARK
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State | CA
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Zip | 91754-1700
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Country | US
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Telephone | 626-571-0154
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Fax | 626-571-1192
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | TERENCE TSE
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Credential | PHARM.D.
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Telephone | 909-569-2005
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY44832
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License Number State | CA
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