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General NPI Number Information
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NPI Number | 1962738864
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Entity Type | Organization
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Legal Business Name | HEALTH QUEST
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 03/01/2011
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Provider Practice Location Address
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Address Line | 2677 ZOE AVE STE 114
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-6995
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Country | US
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Telephone | 323-583-3200
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Fax | 323-583-3500
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Provider Business Mailing Address
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Address Line | 2980 N BEVERLY GLEN CIR STE 301
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City | LOS ANGELES
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State | CA
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Zip | 90077-1735
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Country | US
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Telephone | 310-474-9809
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Fax | 888-652-3017
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CINDY BERGANZA
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Credential |
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Telephone | 323-583-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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