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General NPI Number Information
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NPI Number | 1417651043
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Entity Type | Organization
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Legal Business Name | APERTURE RX LLC
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 9850 KENT ST STE 200
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City | ELK GROVE
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State | CA
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Zip | 95624-9599
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Country | US
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Telephone | 614-647-5115
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 661307
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City | DALLAS
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State | TX
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Zip | 75266-1307
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Country | US
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Telephone | 380-235-6456
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Fax | 380-276-6091
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Authorized Official
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Title or Position | VP OF PAYER RELATIONS
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Name | MELODY JOY
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Credential |
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Telephone | 203-520-8125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 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 #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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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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