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General NPI Number Information
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NPI Number | 1932499605
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Entity Type | Organization
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Legal Business Name | C.N. HEALTH, INC.
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Dates
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Enumeration Date | 04/14/2011
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 1417 W BEVERLY BLVD STE 103
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City | MONTEBELLO
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State | CA
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Zip | 90640-4146
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Country | US
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Telephone | 323-726-1582
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Fax | 323-726-2193
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Provider Business Mailing Address
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Address Line | 609 N MEDNIK AVE
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City | LOS ANGELES
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State | CA
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Zip | 90022-1326
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Country | US
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Telephone | 323-268-9979
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Fax | 323-268-9539
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Authorized Official
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Title or Position | CEO
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Name | DAT CHAU
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Credential |
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Telephone | 323-268-9979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 50628
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License Number State | CA
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