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General NPI Number Information
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NPI Number | 1225150857
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Entity Type | Individual
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Provider Name | HARRY HUBSTER MCCLENDON RPH
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1800 W CHESTNUT ROOM 102
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City | DENTON
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State | TX
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Zip | 76203
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Country | US
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Telephone | 940-565-2798
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Fax | 940-565-3150
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Provider Business Mailing Address
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Address Line | 916 STANLEY ST
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City | DENTON
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State | TX
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Zip | 76201
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Country | US
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Telephone | 940-383-2565
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 24206
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License Number State | TX
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