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General NPI Number Information
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NPI Number | 1720741606
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Entity Type | Organization
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Legal Business Name | VERTEX HEALTHCARE INC
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 3111 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-2216
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Country | US
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Telephone | 747-313-7152
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Fax |
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Provider Business Mailing Address
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Address Line | 3111 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-2216
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Country | US
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Telephone | 747-313-7152
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM ANG CHUA
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Credential | M. D.
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Telephone | 747-313-7152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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