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General NPI Number Information
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NPI Number | 1568574473
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Entity Type | Organization
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Legal Business Name | DORRICK INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 3008 LITTLE YORK RD
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City | HOUSTON
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State | TX
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Zip | 77093-3520
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Country | US
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Telephone | 713-742-8600
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Fax | 713-742-8615
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Provider Business Mailing Address
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Address Line | 3008 LITTLE YORK RD
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City | HOUSTON
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State | TX
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Zip | 77093-3520
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Country | US
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Telephone | 713-742-8600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ENRIQUE CANTU
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Credential |
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Telephone | 713-742-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic 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 | 25184
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License Number State | TX
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