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General NPI Number Information
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NPI Number | 1679554075
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH CARE, INC
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 781 PALISADE AVE
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City | CLIFFSIDE PARK
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State | NJ
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Zip | 07010-3203
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Country | US
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Telephone | 201-886-2400
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Fax | 201-886-0059
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Provider Business Mailing Address
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Address Line | 781 PALISADE AVE
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City | CLIFFSIDE PARK
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State | NJ
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Zip | 07010-3203
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Country | US
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Telephone | 201-886-2400
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Fax | 201-886-0059
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Authorized Official
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Title or Position | OWNER
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Name | MR. DONG-HYUN YANG
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Credential | RPH
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Telephone | 201-886-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RS00537500
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License Number State | NJ
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