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General NPI Number Information
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NPI Number | 1619128402
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Entity Type | Organization
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Legal Business Name | REMINGTON HERITAGE INC
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 4323 N JOSEY LN STE 102
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City | CARROLLTON
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State | TX
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Zip | 75010-4633
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Country | US
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Telephone | 972-395-3100
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Fax | 972-395-3103
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Provider Business Mailing Address
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Address Line | 4323 N JOSEY LN STE 102
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City | CARROLLTON
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State | TX
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Zip | 75010-4633
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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 | PIC
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Name | KUNLE TOMETI
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Credential |
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Telephone | 972-294-9552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 26205
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License Number State | TX
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