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General NPI Number Information
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NPI Number | 1912105990
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Entity Type | Organization
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Legal Business Name | METTA INTERNATIONAL PHARMACY CO
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 5557-2 NEW PEACHTREE RD METTA INTERNATIONAL PHARMACY CO
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City | CHAMBLEE
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State | GA
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Zip | 30341-2500
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Country | US
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Telephone | 770-451-0363
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Fax | 770-451-0364
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Provider Business Mailing Address
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Address Line | 5557-2 NEW PEACHTREE RD
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City | CHAMBLEE
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State | GA
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Zip | 30341-2500
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Country | US
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Telephone | 770-451-0363
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Fax | 770-451-0364
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHUAN CHANG CHIEN
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Credential | MS RPH
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Telephone | 770-451-0363
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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 | RPH015281
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License Number State | GA
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