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General NPI Number Information
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NPI Number | 1467524066
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Entity Type | Organization
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Legal Business Name | CA & JL ENTERPRISES INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 521 W MAIN ST
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City | CABOT
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State | AR
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Zip | 72023-2420
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Country | US
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Telephone | 501-843-5846
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Fax | 501-843-2758
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Provider Business Mailing Address
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Address Line | 521 W MAIN ST
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City | CABOT
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State | AR
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Zip | 72023-2420
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Country | US
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Telephone | 501-843-5846
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Fax | 501-843-2758
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Authorized Official
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Title or Position | OWNER
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Name | JAMES L BUSH
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Credential | RPH
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Telephone | 501-843-5846
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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 | 0418548
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License Number State | AR
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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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