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General NPI Number Information
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NPI Number | 1437237666
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Entity Type | Organization
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Legal Business Name | C.K.C. INVESTMENT,INC.
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 100 E VALENCIA MESA DR
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City | FULLERTON
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State | CA
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Zip | 92835-3813
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Country | US
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Telephone | 714-992-1234
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Fax | 714-992-6668
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Provider Business Mailing Address
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Address Line | 100 E VALENCIA MESA DR 106
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City | FULLERTON
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State | CA
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Zip | 92835-3813
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Country | US
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Telephone | 714-992-1234
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Fax | 714-992-6668
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. CHUN KWOK CHUNG
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Credential | RPH
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Telephone | 714-992-1234
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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 | PHY 49039
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License Number State | CA
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