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General NPI Number Information
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NPI Number | 1457567414
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Entity Type | Organization
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Legal Business Name | CONSUMER HEALTH INC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 3635 E 1ST ST
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City | LOS ANGELES
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State | CA
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Zip | 90063-2345
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Country | US
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Telephone | 323-269-7367
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Fax |
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Provider Business Mailing Address
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Address Line | 3635 E 1ST ST
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City | LOS ANGELES
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State | CA
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Zip | 90063-2345
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Country | US
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Telephone | 323-269-7367
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Fax |
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Authorized Official
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Title or Position | SR VICE PRESIDENT
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Name | DR. DENNIS R FRATT
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Credential | DDS
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Telephone | 714-428-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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