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General NPI Number Information
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NPI Number | 1467905562
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Entity Type | Organization
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Legal Business Name | JIM B SPEARS INC
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 1720 HILLCREST DR
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City | VERNON
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State | TX
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Zip | 76384-4099
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Country | US
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Telephone | 940-552-2999
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Fax | 940-552-5347
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Provider Business Mailing Address
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Address Line | P.O. BOX 1737
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City | VERNON
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State | TX
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Zip | 76385
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Country | US
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Telephone | 940-552-2999
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Fax | 940-552-5347
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Authorized Official
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Title or Position | PRESIDENT
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Name | TERRY SPEARS
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Credential |
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Telephone | 940-552-2999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 16832
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License Number State | TX
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Taxonomy #3
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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 |
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