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General NPI Number Information
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NPI Number | 1467752287
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Entity Type | Organization
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Legal Business Name | ADVANCED INTEGRATED MEDICATIONS
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 11500 N STEMMONS FWY SUITE 158
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City | DALLAS
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State | TX
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Zip | 75229-2184
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Country | US
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Telephone | 469-619-3005
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Fax | 469-464-1235
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Provider Business Mailing Address
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Address Line | 11500 N STEMMONS FWY SUITE 158
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City | DALLAS
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State | TX
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Zip | 75229-2184
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Country | US
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Telephone |
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Fax | 469-464-1235
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MR. GOPESH PATEL
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Credential |
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Telephone | 469-236-2977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 27200
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License Number State | TX
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