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General NPI Number Information
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NPI Number | 1184717522
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Entity Type | Organization
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Legal Business Name | HANKES CLINIC PHARMACY
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 1870 W GALENA BLVD
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City | AURORA
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State | IL
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Zip | 60506-4356
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Country | US
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Telephone | 630-892-4284
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Fax | 630-892-1792
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Provider Business Mailing Address
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Address Line | 1870 W GALENA BLVD
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City | AURORA
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State | IL
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Zip | 60506-4356
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Country | US
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Telephone | 630-892-4284
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Fax | 630-892-1792
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Authorized Official
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Title or Position | OWNER
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Name | PAUL MASLA
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Credential | RPH
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Telephone | 630-859-6860
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 054015073
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License Number State | IL
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