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General NPI Number Information
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NPI Number | 1346652500
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Entity Type | Organization
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Legal Business Name | LONE STAR SCRIPT CARE LLC
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 410 E TEXAS AVE
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City | MART
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State | TX
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Zip | 76664-1446
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Country | US
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Telephone | 888-962-0422
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 247
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City | MART
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State | TX
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Zip | 76664-0247
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JACOB OLIVER
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Credential |
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Telephone | 254-400-2732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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