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General NPI Number Information
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NPI Number | 1114837911
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Entity Type | Organization
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Legal Business Name | PRO-SPECTUS, LLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 15058 BELTWAY DR STE 119A
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City | ADDISON
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State | TX
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Zip | 75001-3700
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Country | US
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Telephone | 877-877-2614
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Fax | 888-845-8593
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Provider Business Mailing Address
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Address Line | 15058 BELTWAY DR STE 119A
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City | ADDISON
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State | TX
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Zip | 75001-3700
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Country | US
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Telephone | 877-877-2614
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Fax | 888-845-8593
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | EMILY SMITH
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Credential |
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Telephone | 469-636-6080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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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 | 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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