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General NPI Number Information
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NPI Number | 1568370179
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Entity Type | Organization
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Legal Business Name | LONG TECH INC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 4564 HIGHWAY 431
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City | HEFLIN
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State | AL
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Zip | 36264-3228
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Country | US
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Telephone | 239-504-1237
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Fax |
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Provider Business Mailing Address
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Address Line | 9603 BIRD RIVER RD
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-3706
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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 | MANAGER
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Name | WILLIAM LONG
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Credential |
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Telephone | 239-504-1237
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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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