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General NPI Number Information
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NPI Number | 1568477180
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Entity Type | Organization
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Legal Business Name | T & G HEALTHCARE INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 05/08/2013
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Provider Practice Location Address
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Address Line | 3948 PECK RD SUITE A1-A2
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City | EL MONTE
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State | CA
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Zip | 91732-2255
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Country | US
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Telephone | 626-448-2507
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Fax | 626-448-2576
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Provider Business Mailing Address
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Address Line | 3948 PECK RD SUITE A1-A2
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City | EL MONTE
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State | CA
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Zip | 91732-2255
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Country | US
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Telephone | 626-448-2507
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Fax | 626-448-2576
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | KHANH-LONG THAI
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Credential | PHARM.D.
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Telephone | 626-448-2507
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY48958
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License Number State | CA
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