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General NPI Number Information
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NPI Number | 1053426254
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Entity Type | Organization
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Legal Business Name | LIFECHEK CONROE PARTNERS LTD
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 09/14/2009
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Provider Practice Location Address
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Address Line | 3701 GULFWAY DR
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City | PORT ARTHUR
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State | TX
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Zip | 77642-2829
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Country | US
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Telephone | 409-982-9977
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Fax | 409-982-2318
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Provider Business Mailing Address
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Address Line | 1316 7TH ST
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City | ROSENBERG
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State | TX
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Zip | 77471-3531
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | TRAINING AND DVLPMNT SPECIALST
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Name | SANDRA SCOTT
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Credential |
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Telephone | 832-646-5119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 23766
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License Number State | TX
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