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General NPI Number Information
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NPI Number | 1194688291
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Entity Type | Organization
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Legal Business Name | NEW DAWN PHARMACY 2 LLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 102 BABCOCK RD STE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78201-3952
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Country | US
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Telephone | 210-999-5042
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Fax |
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Provider Business Mailing Address
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Address Line | 102 BABCOCK RD STE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78201-3952
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ERNEST SAMA
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Credential |
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Telephone | 703-944-5255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #6
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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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