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General NPI Number Information
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NPI Number | 1427469790
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Entity Type | Organization
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Legal Business Name | SPLENDORA HEALTHCARE LLC
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Dates
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Enumeration Date | 05/08/2014
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Last Update Date | 09/11/2015
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Provider Practice Location Address
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Address Line | 13841 HIGHWAY 59 STE C
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City | SPLENDORA
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State | TX
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Zip | 77372-4697
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Country | US
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Telephone | 281-689-7700
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Fax | 281-689-7701
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Provider Business Mailing Address
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Address Line | 13841 HIGHWAY 59 STE C
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City | SPLENDORA
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State | TX
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Zip | 77372-4697
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Country | US
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Telephone | 281-689-7700
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Fax | 281-689-7701
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Authorized Official
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Title or Position | MANAGING OFFICER
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Name | NICK PATEL
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Credential |
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Telephone | 832-689-3999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29076
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License Number State | TX
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