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General NPI Number Information
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NPI Number | 1093238552
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Entity Type | Organization
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Legal Business Name | CAREMARK L.L.C.
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 07/17/2017
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Provider Practice Location Address
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Address Line | 1001 SPINKS RD STE 280
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City | FLOWER MOUND
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State | TX
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Zip | 75028-4214
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Country | US
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Telephone | 337-802-9904
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 99794
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City | CHICAGO
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State | IL
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Zip | 60696-7594
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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 | VICE PRESIDENT
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Name | ANNE KLIS
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Credential |
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Telephone | 847-559-4873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 3336M0002X
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Taxonomy Name | Mail Order 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 | 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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