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General NPI Number Information
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NPI Number | 1609114958
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Entity Type | Organization
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Legal Business Name | HASCO INC.
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 8 NORTH 4TH ST
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City | CLEAR LAKE
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State | IA
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Zip | 50428
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Country | US
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Telephone | 641-357-2634
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Fax | 641-357-8621
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Provider Business Mailing Address
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Address Line | 8 NORTH 4TH ST
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City | CLEAR LAKE
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State | IA
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Zip | 50428
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Country | US
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Telephone | 641-357-2634
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Fax | 641-357-8621
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Authorized Official
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Title or Position | PRES
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Name | GARVIS HOUCK
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Credential |
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Telephone | 641-357-2634
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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 | 1446
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License Number State | IA
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