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General NPI Number Information
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NPI Number | 1366101990
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Entity Type | Individual
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Provider Name | DAVID J PALLETT RPH
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Gender | Male
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 7777 FOREST LN STE B-A80
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City | DALLAS
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State | TX
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Zip | 75230-2571
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Country | US
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Telephone | 972-383-7020
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Fax | 844-608-1633
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Provider Business Mailing Address
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Address Line | 1209 LAKEWAY DR
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City | PLANO
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State | TX
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Zip | 75075-2286
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Country | US
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Telephone | 469-682-3355
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 43390
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 31268
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | T-100179
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PST.024064
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License Number State | LA
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