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General NPI Number Information
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NPI Number | 1285405936
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Entity Type | Organization
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Legal Business Name | PRINCE VENTURES LLC
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Dates
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Enumeration Date | 01/11/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 3842 LAURAL RDG
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City | SPRINGDALE
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State | AR
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Zip | 72764-1075
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Country | US
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Telephone | 479-531-0366
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Fax |
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Provider Business Mailing Address
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Address Line | 3842 LAURAL RDG
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City | SPRINGDALE
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State | AR
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Zip | 72764-1075
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Country | US
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Telephone | 479-531-0366
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROBIN PRINCE
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Credential | PHARMD
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Telephone | 479-531-0366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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