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General NPI Number Information
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NPI Number | 1417201286
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Entity Type | Organization
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Legal Business Name | SPECIALTY PHARMACY SERVICES, INC.
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 11/01/2012
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Provider Practice Location Address
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Address Line | 2006 S 1ST ST SUITE C
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City | TEMPLE
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State | TX
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Zip | 76504-7450
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Country | US
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Telephone | 254-791-1751
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Fax | 254-770-3183
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Provider Business Mailing Address
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Address Line | 2006 S 1ST ST SUITE C
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City | TEMPLE
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State | TX
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Zip | 76504-7450
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Country | US
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Telephone | 254-791-1751
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Fax |
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Authorized Official
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Title or Position | NUCLEAR PHARMACIST
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Name | DR. STEVE D MITCHELL
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Credential | PHARM.D.
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Telephone | 254-791-1851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835N0905X
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Taxonomy Name | Nuclear Pharmacist
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License Number | 16722
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License Number State | TX
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