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General NPI Number Information
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NPI Number | 1033520531
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Entity Type | Organization
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Legal Business Name | RESOLUTE HOSPITAL COMPANY LLC
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Dates
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Enumeration Date | 05/19/2014
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 555 CREEKSIDE XING
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-2594
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Country | US
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Telephone | 830-500-6761
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Fax |
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Provider Business Mailing Address
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Address Line | 555 CREEKSIDE XING
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-2594
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Country | US
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Telephone | 830-500-6761
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | STEWART WIREBAUGH
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Credential |
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Telephone | 830-500-6761
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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 | 29208
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License Number State | TX
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