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General NPI Number Information
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NPI Number | 1184679177
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Entity Type | Organization
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Legal Business Name | SPECIALIZED PHARMACY SERVICES, INC.
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 01/20/2009
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Provider Practice Location Address
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Address Line | 7645 PHELAN BLVD
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City | BEAUMONT
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State | TX
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Zip | 77706-5753
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Country | US
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Telephone | 409-832-8750
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Fax | 409-866-7996
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Provider Business Mailing Address
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Address Line | PO BOX 7380
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City | BEAUMONT
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State | TX
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Zip | 77726-7380
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Country | US
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Telephone | 409-832-8750
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Fax | 409-866-7996
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DONNA C FLANAKIN
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Credential |
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Telephone | 409-832-8750
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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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