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General NPI Number Information
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NPI Number | 1063748812
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Entity Type | Organization
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Legal Business Name | AFFINITY BIOTECH, INC
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Dates
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Enumeration Date | 10/29/2009
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 11303 CHIMNEY ROCK RD STE 105
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City | HOUSTON
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State | TX
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Zip | 77035-2901
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Country | US
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Telephone | 713-551-2087
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Fax | 888-805-0990
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Provider Business Mailing Address
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Address Line | 11303 CHIMNEY ROCK RD SUITE #108
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City | HOUSTON
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State | TX
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Zip | 77035-2901
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Country | US
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Telephone | 713-551-2090
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Fax | 888-805-3450
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Authorized Official
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Title or Position | VP OR OPERATIONS, DIPLOMAT PHARMACY
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Name | GARY RICE
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Credential |
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Telephone | 810-768-9863
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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 | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 26845
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License Number State | TX
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