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General NPI Number Information
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NPI Number | 1124764600
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Entity Type | Organization
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Legal Business Name | CURA VITA, LLC
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 13176 W LAKE HOUSTON PKWY STE 1
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City | HOUSTON
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State | TX
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Zip | 77044-5381
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Country | US
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Telephone | 281-225-4300
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Fax | 281-225-4301
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Provider Business Mailing Address
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Address Line | PO BOX 6963
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City | KINGWOOD
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State | TX
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Zip | 77325-6963
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Country | US
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Telephone | 281-225-4300
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Fax | 281-225-4301
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MARIE EKPEMA
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Credential | PHARMD
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Telephone | 281-225-4300
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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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