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General NPI Number Information
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NPI Number | 1538575535
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Entity Type | Organization
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Legal Business Name | J&D HEALTHKONNET ENTERPRISES PLLC
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Dates
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Enumeration Date | 07/10/2014
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 6109 S COOPER ST STE- 111
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City | ARLINGTON
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State | TX
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Zip | 76001
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Country | US
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Telephone | 817-419-2822
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Fax | 817-419-2922
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Provider Business Mailing Address
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Address Line | 6109 S COOPER ST STE- 111
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City | ARLINGTON
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State | TX
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Zip | 76001
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Country | US
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Telephone | 817-419-2822
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Fax | 817-419-2922
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Authorized Official
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Title or Position | PIC
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Name | YAMAL PATEL
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Credential |
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Telephone | 817-419-2822
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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 | 29338
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License Number State | TX
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