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General NPI Number Information
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NPI Number | 1447547286
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Entity Type | Organization
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Legal Business Name | GREEN OAKS PHARMA INC.
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 711 E. LAMAR BLVD SUITE # 101
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City | ARLINGTON
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State | TX
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Zip | 76011-3888
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Country | US
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Telephone | 817-459-8400
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Fax | 817-459-8402
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Provider Business Mailing Address
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Address Line | 711 E. LAMAR BLVD SUITE # 101
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City | ARLINGTON
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State | TX
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Zip | 76011-3888
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Country | US
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Telephone | 817-459-8400
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Fax | 817-459-8402
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. PRAFUL D PATEL
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Credential |
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Telephone | 214-457-5571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State | TX
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