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General NPI Number Information
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NPI Number | 1619334786
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Entity Type | Organization
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Legal Business Name | DENSON'S SPECIALTY PHARMACY
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 200 E WILLOW AVE STE 200
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City | WHEATON
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State | IL
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Zip | 60187-5463
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Country | US
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Telephone | 630-668-1180
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Fax | 630-668-1184
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Provider Business Mailing Address
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Address Line | 200 E WILLOW AVE STE 200
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City | WHEATON
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State | IL
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Zip | 60187-5463
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Country | US
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Telephone | 630-668-1180
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Fax | 630-668-1184
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | DR. INAYAT PATEL
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Credential | PHARM.D.
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Telephone | 847-714-7308
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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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