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General NPI Number Information
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NPI Number | 1265974257
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Entity Type | Organization
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Legal Business Name | TRANSCENDRX LLC
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 5825 DRY CREEK LN NE
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City | CEDAR RAPIDS
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State | IA
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Zip | 52402-1225
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Country | US
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Telephone | 319-368-3619
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Fax | 319-368-3626
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Provider Business Mailing Address
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Address Line | 5825 DRY CREEK LN NE
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City | CEDAR RAPIDS
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State | IA
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Zip | 52402-1225
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Country | US
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Telephone | 319-368-3619
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Fax | 319-368-3626
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR, PHARMACY SERVIC
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Name | JUDY SADLER
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Credential | PHARMD
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Telephone | 319-368-3619
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1583
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License Number State | IA
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