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General NPI Number Information
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NPI Number | 1386749166
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Entity Type | Organization
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Legal Business Name | MED SHOP TOTAL CARE INC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 470 E LOOP 281
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City | LONGVIEW
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State | TX
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Zip | 75605-7939
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Country | US
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Telephone | 903-234-0080
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Fax | 903-234-1062
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Provider Business Mailing Address
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Address Line | 470 E LOOP 281
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City | LONGVIEW
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State | TX
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Zip | 75605
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Country | US
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Telephone | 903-234-0080
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Fax | 903-234-1062
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES DOWING
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Credential | RPH
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Telephone | 903-234-0080
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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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Taxonomy #2
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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