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General NPI Number Information
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NPI Number | 1275245870
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Entity Type | Organization
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Legal Business Name | SINA DRUG LLC
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 15990 N GREENWAY HAYDEN LOOP STE D100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2269
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Country | US
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Telephone | 877-662-6633
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Fax | 877-662-6533
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Provider Business Mailing Address
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Address Line | 13410 EASTPOINT CENTRE DR STE 100
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City | LOUISVILLE
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State | KY
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Zip | 40223-4160
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Country | US
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Telephone | 877-662-6633
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Fax | 877-662-6533
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Authorized Official
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Title or Position | VP, REVENUE CYCLE MGT
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Name | AMY KONAK
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Credential |
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Telephone | 502-689-4366
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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 |
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License Number State |
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