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General NPI Number Information
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NPI Number | 1215218557
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Entity Type | Organization
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Legal Business Name | DASONCARE GROUP LLC
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 1204 N VELASCO ST STE 105
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City | ANGLETON
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State | TX
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Zip | 77515-3199
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Country | US
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Telephone | 979-849-5400
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Fax | 979-849-5416
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Provider Business Mailing Address
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Address Line | 1204 N VELASCO ST STE 105
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City | ANGLETON
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State | TX
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Zip | 77515-3199
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Country | US
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Telephone | 979-849-5400
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Fax | 979-849-5416
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | EDWIN ANDERSON
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Credential |
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Telephone | 979-849-5400
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 27568
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License Number State | TX
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