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General NPI Number Information
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NPI Number | 1366113029
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Entity Type | Organization
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Legal Business Name | SSCP CYPRESS LLC
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 25222 NORTHWEST FWY APT 101
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City | CYPRESS
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State | TX
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Zip | 77429-1031
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Country | US
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Telephone | 832-304-2236
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Fax | 281-710-6600
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Provider Business Mailing Address
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Address Line | 25222 NORTHWEST FWY SUITE 101
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City | CYPRESS
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State | TX
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Zip | 77429-1031
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Country | US
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Telephone | 281-304-2236
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Fax | 281-710-6600
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Authorized Official
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Title or Position | MANAGER
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Name | APREL HUGHES
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Credential |
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Telephone | 832-304-2236
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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 |
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License Number State |
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