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General NPI Number Information
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NPI Number | 1396041802
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Entity Type | Organization
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Legal Business Name | HDK ENTERPRISES LLC
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 1331 W GRAND PARKWAY NORTH SUITE 111
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City | KATY
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State | TX
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Zip | 77493-2711
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Country | US
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Telephone | 832-553-1315
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Fax | 832-553-1316
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Provider Business Mailing Address
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Address Line | 7700 MAIN STREET SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77030-4457
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Country | US
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Telephone | 713-660-8888
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Fax | 713-661-4828
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Authorized Official
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Title or Position | CEO
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Name | AMIT JAIN
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Credential |
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Telephone | 713-660-8888
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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 | 27315
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License Number State | TX
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