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General NPI Number Information
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NPI Number | 1790239861
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Entity Type | Organization
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Legal Business Name | CVS HEALTH
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Dates
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Enumeration Date | 08/06/2016
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Last Update Date | 08/06/2016
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Provider Practice Location Address
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Address Line | 91-919 FORT WEAVER RD
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City | EWA BEACH
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State | HI
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Zip | 96706-2257
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Country | US
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Telephone | 808-689-5860
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Fax |
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Provider Business Mailing Address
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Address Line | 91-1031 KAIMALIE ST APT 4S3
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City | EWA BEACH
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State | HI
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Zip | 96706-6017
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Country | US
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Telephone | 808-557-9034
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. CHRISTOPHER NGO THAI
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Credential | PHARMD
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Telephone | 808-557-9034
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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 |
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License Number State |
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