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General NPI Number Information
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NPI Number | 1225065303
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Entity Type | Organization
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Legal Business Name | LOUCAS-KARNOUPAKIS ENTERPRISES INC
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 501 CAROLINA AVE
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City | CHESTER
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State | WV
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Zip | 26034-1319
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Country | US
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Telephone | 304-387-2731
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Fax | 304-387-1369
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Provider Business Mailing Address
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Address Line | PO BOX 198 501 CAROLINA AVE
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City | CHESTER
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State | WV
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Zip | 26034
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Country | US
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Telephone | 304-387-2731
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Fax | 304-387-1369
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Authorized Official
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Title or Position | PRES
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Name | MR. JAMES THOMAS KARNOUPAKIS
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Credential | RPH
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Telephone | 304-387-2731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | MP0550032
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License Number State | WV
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