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General NPI Number Information
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NPI Number | 1568938355
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Entity Type | Organization
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Legal Business Name | DEVRON SYSTEM INC
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Dates
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Enumeration Date | 10/18/2018
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 711 E LAMAR BLVD STE 106
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City | ARLINGTON
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State | TX
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Zip | 76011-3854
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Country | US
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Telephone | 817-612-4802
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Fax | 817-612-4804
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Provider Business Mailing Address
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Address Line | 711 E LAMAR BLVD STE 106
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City | ARLINGTON
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State | TX
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Zip | 76011-3854
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Country | US
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Telephone | 817-612-4802
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Fax | 817-612-4804
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Authorized Official
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Title or Position | OFFICER
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Name | LATA NARAWANE
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Credential |
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Telephone | 817-612-4802
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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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