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General NPI Number Information
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NPI Number | 1528129699
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Entity Type | Organization
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Legal Business Name | AMERICAN ADVANCEMENT LLC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 1323 E FRANKLIN ST # 100
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City | HILLSBORO
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State | TX
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Zip | 76645-2621
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Country | US
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Telephone | 254-632-8863
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Fax | 254-632-8864
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Provider Business Mailing Address
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Address Line | 1323 E FRANKLIN ST # 100
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City | HILLSBORO
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State | TX
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Zip | 76645-2621
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Country | US
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Telephone | 254-632-8863
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Fax | 254-632-8864
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAJESAWRI KUMAR
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Credential |
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Telephone | 586-604-2356
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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 | 31682
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License Number State | TX
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