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General NPI Number Information
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NPI Number | 1548668106
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Entity Type | Organization
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Legal Business Name | HHP #4 PHARMACY, LLC.
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 2811 TEAGUE RD 1303
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City | HOUSTON
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State | TX
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Zip | 77080-2502
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Country | US
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Telephone | 346-204-4576
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Fax | 346-204-4573
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Provider Business Mailing Address
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Address Line | 2811 TEAGUE RD 1303
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City | HOUSTON
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State | TX
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Zip | 77080-2502
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Country | US
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Telephone | 346-204-4576
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Fax | 346-204-4573
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | GEORGIO DENOBREGA
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Credential |
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Telephone | 832-589-5668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29645
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License Number State | TX
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