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General NPI Number Information
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NPI Number | 1447307590
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Entity Type | Organization
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Legal Business Name | HAH LLC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 01/09/2015
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Provider Practice Location Address
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Address Line | 1523 S MAIN ST
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City | HOPE
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State | AR
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Zip | 71801-7202
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Country | US
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Telephone | 870-777-5555
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Fax | 870-777-3661
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Provider Business Mailing Address
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Address Line | 1523 S MAIN ST
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City | HOPE
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State | AR
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Zip | 71801-7202
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Country | US
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Telephone | 870-777-5555
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Fax | 870-777-3661
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Authorized Official
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Title or Position | CHIEF PHRM
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Name | KRISTI HAYS
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Credential |
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Telephone | 870-777-4616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0003X
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Taxonomy Name | Managed Care Organization 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 | AR20325
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License Number State | AR
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