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General NPI Number Information
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NPI Number | 1396750931
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Entity Type | Organization
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Legal Business Name | PHARMED LP
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 1200 WOODHAVEN BLVD
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City | FT WORTH
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State | TX
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Zip | 76112-2376
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Country | US
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Telephone | 817-507-0162
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Fax | 817-507-0163
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Provider Business Mailing Address
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Address Line | PO BOX 260329
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City | PLANO
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State | TX
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Zip | 75026-0329
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Country | US
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Telephone | 817-507-0162
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Fax | 972-248-3234
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Authorized Official
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Title or Position | GENERAL MGR
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Name | SAEID DAVANI
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Credential |
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Telephone | 972-596-6690
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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 | 22345
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License Number State | TX
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