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General NPI Number Information
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NPI Number | 1164841268
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Entity Type | Organization
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Legal Business Name | KROGER TEXAS L P
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 9703 BARKER CYPRESS RD
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City | CYPRESS
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State | TX
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Zip | 77433-1214
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Country | US
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Telephone | 281-746-3645
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Fax | 281-746-3647
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Provider Business Mailing Address
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Address Line | PO BOX 830242
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City | PHILADELPHIA
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State | PA
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Zip | 19182-0352
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Country | US
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Telephone | 513-762-1019
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Fax | 513-762-1092
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Authorized Official
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Title or Position | LICENSING ASP
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Name | VICTORIA BONE
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Credential |
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Telephone | 513-587-5303
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29335
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License Number State | TX
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