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General NPI Number Information
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NPI Number | 1538446737
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Entity Type | Organization
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Legal Business Name | REMKEM CORPORATION
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 9037 GARLAND RD
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City | DALLAS
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State | TX
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Zip | 75218-3919
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Country | US
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Telephone | 214-660-1603
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Fax | 214-660-1608
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Provider Business Mailing Address
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Address Line | 836 FALLKIRK CT
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City | COPPELL
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State | TX
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Zip | 75019-2078
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Country | US
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Telephone | 214-793-3236
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Fax | 972-899-1184
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Authorized Official
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Title or Position | CORPORATE OFFICER
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Name | XUAN NGUYEN
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Credential |
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Telephone | 214-660-1603
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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 | 27745
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License Number State | TX
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