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General NPI Number Information
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NPI Number | 1013334903
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Entity Type | Organization
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Legal Business Name | DOWNING LABS LLC
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Dates
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Enumeration Date | 03/28/2014
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Last Update Date | 05/19/2015
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Provider Practice Location Address
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Address Line | 4001 MCEWEN RD STE 110
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City | DALLAS
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State | TX
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Zip | 75244-5020
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Country | US
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Telephone | 214-347-4008
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Fax | 888-839-0241
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Provider Business Mailing Address
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Address Line | 4001 MCEWEN RD STE 110
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City | DALLAS
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State | TX
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Zip | 75244-5020
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Country | US
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Telephone | 214-347-4008
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Fax | 888-839-0241
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Authorized Official
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Title or Position | PIC
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Name | ROGER MANSFIELD
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Credential | RPH
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Telephone | 214-347-4008
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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 | 29313
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License Number State | TX
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