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General NPI Number Information
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NPI Number | 1073888301
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Entity Type | Organization
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Legal Business Name | SHEVAT INC
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 5537 LAWNDALE ST
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City | HOUSTON
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State | TX
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Zip | 77023-3837
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Country | US
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Telephone | 713-514-8028
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Fax | 713-514-8078
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Provider Business Mailing Address
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Address Line | 5537 LAWNDALE ST
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City | HOUSTON
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State | TX
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Zip | 77023-3837
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Country | US
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Telephone | 713-514-8028
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Fax | 713-514-8078
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Authorized Official
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Title or Position | OWNER
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Name | ALESANDRA FARPON
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Credential |
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Telephone | 713-514-8028
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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 | 27800
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License Number State | TX
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