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General NPI Number Information
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NPI Number | 1265015432
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Entity Type | Individual
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Provider Name | LAKEESHA ZUNIGA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 16750 WESTGROVE DR STE 100
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City | ADDISON
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State | TX
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Zip | 75001-5624
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Country | US
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Telephone | 469-320-2424
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Fax | 972-620-9145
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Provider Business Mailing Address
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Address Line | 13104 SCOTCH PINE DR
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City | FRISCO
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State | TX
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Zip | 75035-2532
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Country | US
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Telephone | 214-449-5800
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Fax | 972-620-9145
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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 | 41254
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License Number State | TX
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