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General NPI Number Information
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NPI Number | 1275180507
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Entity Type | Organization
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Legal Business Name | TOUCHSTONE IV INC
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 9101 LAKEVIEW PKWY STE 500
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City | ROWLETT
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State | TX
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Zip | 75088-4574
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Country | US
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Telephone | 469-925-1010
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Fax | 877-257-0305
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Provider Business Mailing Address
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Address Line | 9101 LAKEVIEW PKWY STE 500
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City | ROWLETT
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State | TX
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Zip | 75088-4574
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Country | US
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Telephone | 469-925-1010
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Fax | 469-367-0341
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Authorized Official
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Title or Position | VP
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Name | JASON GRAVES
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Credential |
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Telephone | 469-925-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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