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General NPI Number Information
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NPI Number | 1245344233
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Entity Type | Organization
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Legal Business Name | ADVANTAGES PHARMACY
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 22999 HIGHWAY 59 N STE 142
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City | KINGWOOD
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State | TX
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Zip | 77339-4412
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Country | US
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Telephone | 281-359-3892
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Fax | 281-359-2654
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Provider Business Mailing Address
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Address Line | 8901 FM 1960 BYPASS RD W STE 103
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City | HUMBLE
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State | TX
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Zip | 77338-4018
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Country | US
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Telephone | 281-359-3892
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Fax | 281-359-2654
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL SPRADLEY
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Credential |
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Telephone | 281-359-3892
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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 | 17046
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License Number State | TX
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