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General NPI Number Information
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NPI Number | 1073975413
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Entity Type | Organization
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Legal Business Name | KB ASSOCIATES INC
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Dates
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Enumeration Date | 03/24/2016
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 11035 RESOURCE PKWY SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77089-6071
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Country | US
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Telephone | 346-888-5452
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Fax | 844-509-3616
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Provider Business Mailing Address
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Address Line | 11035 RESOURCE PKWY SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77089-6071
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Country | US
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Telephone | 346-888-5452
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Fax | 844-509-3616
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | BIJU MATHEW
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Credential |
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Telephone | 346-888-5452
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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 | 30718
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License Number State | TX
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