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General NPI Number Information
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NPI Number | 1548731870
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Entity Type | Organization
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Legal Business Name | GENRX CORP
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 17250 N HARTFORD DR STE 115
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5496
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Country | US
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Telephone | 866-453-6143
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Fax | 800-530-0665
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Provider Business Mailing Address
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Address Line | 17250 N HARTFORD DR STE 115
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5496
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Country | US
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Telephone | 866-453-6143
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Fax | 800-530-0665
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Authorized Official
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Title or Position | LEGAL ASSISTANT
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Name | MR. GEORGE C. SPROWLS
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Credential |
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Telephone | 602-892-4250
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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 | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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