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General NPI Number Information
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NPI Number | 1437759750
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Entity Type | Individual
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Provider Name | DAVID KENT EMMERLING RPH
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Gender | Male
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | WALMART PHARMACY 10-0140 2500 DANIEL MCCALL DRIVE
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City | LUFKIN
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State | TX
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Zip | 75904
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Country | US
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Telephone | 936-639-2275
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Fax | 936-639-2772
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Provider Business Mailing Address
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Address Line | 15517 S FM 225
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City | DOUGLASS
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State | TX
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Zip | 75943-5518
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Country | US
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Telephone | 936-556-0097
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24143
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License Number State | TX
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