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General NPI Number Information
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NPI Number | 1487036687
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Entity Type | Organization
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Legal Business Name | SECHANZ ENTERPRISES INC
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 6306 MEADOWBROOK DR
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City | FORT WORTH
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State | TX
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Zip | 76112-5121
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Country | US
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Telephone | 817-888-3132
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Fax | 817-888-3134
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Provider Business Mailing Address
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Address Line | 6306 MEADOWBROOK DR
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City | FORT WORTH
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State | TX
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Zip | 76112
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Country | US
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Telephone | 817-888-3132
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Fax | 817-888-3134
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDER NWANKPA
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Credential |
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Telephone | 817-888-3132
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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 |
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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 | 30004
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License Number State | TX
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