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General NPI Number Information
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NPI Number | 1578270021
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Entity Type | Organization
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Legal Business Name | THE LASH GROUP
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 1800 INNOVATION PT
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City | FORT MILL
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State | SC
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Zip | 29715-4501
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Country | US
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Telephone | 803-228-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 5025 PLANO PKWY
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City | CARROLLTON
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State | TX
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Zip | 75010-5022
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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 | SR. DIRECTOR PHARMACY SERVICES
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Name | JOSEPH MAX EILER
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Credential | RPH
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Telephone | 502-955-6118
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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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