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General NPI Number Information
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NPI Number | 1487748257
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Entity Type | Organization
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Legal Business Name | VALENZUELA ZAMORA SAN BENITO DRUG STORE INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 606 N ED CAREY DR STE B SUITE B
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City | HARLINGEN
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State | TX
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Zip | 78550-7986
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Country | US
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Telephone | 956-364-2600
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Fax | 956-364-2602
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Provider Business Mailing Address
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Address Line | 606 N ED CAREY DR STE B
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City | HARLINGEN
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State | TX
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Zip | 78550-7986
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Country | US
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Telephone | 956-364-2600
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Fax | 956-364-2602
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Authorized Official
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Title or Position | VICE PRESIDENT OWNER
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Name | EDUARDO ZAMORA
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Credential |
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Telephone | 956-364-2600
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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 | 17297
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License Number State | TX
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