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General NPI Number Information
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NPI Number | 1275583015
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Entity Type | Organization
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Legal Business Name | LP. INC.
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 3003 SOUTH LOOP W SUITE 450
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City | HOUSTON
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State | TX
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Zip | 77054-1315
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Country | US
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Telephone | 713-665-4400
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Fax | 713-665-0309
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Provider Business Mailing Address
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Address Line | 3003 SOUTH LOOP WEST SUITE 450
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City | HOUSTON
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State | TX
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Zip | 77054
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Country | US
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Telephone | 713-665-4400
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Fax | 713-665-0309
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. BEDE NDUKA
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Credential |
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Telephone | 713-665-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 23801
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License Number State | TX
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