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General NPI Number Information
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NPI Number | 1497050736
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Entity Type | Organization
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Legal Business Name | DYNAMI INVESTMENT CORPORATION
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 223 E FM 544 SUITE 806
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City | MURPHY
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State | TX
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Zip | 75094-4051
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Country | US
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Telephone | 972-423-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 223 E FM 544 SUITE 806
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City | MURPHY
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State | TX
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Zip | 75094-4051
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Country | US
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Telephone | 972-423-4600
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. GIUSEPPE A. GALLUCCI
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Credential | R.PH.
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Telephone | 972-423-4600
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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 | 27243
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License Number State | TX
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