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General NPI Number Information
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NPI Number | 1548728272
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Entity Type | Organization
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Legal Business Name | HK HOMECARE AND COMPOUND INC
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 1900 W EVERMAN PKWY STE 120
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City | FORT WORTH
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State | TX
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Zip | 76134-4326
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Country | US
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Telephone | 817-720-6888
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Fax |
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Provider Business Mailing Address
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Address Line | 4205 HIDEAWAY DR
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City | ARLINGTON
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State | TX
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Zip | 76017-3300
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PIC
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Name | MR. CHINH NGUYEN
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Credential |
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Telephone | 817-240-4515
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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 |
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License Number State |
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