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General NPI Number Information
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NPI Number | 1639316417
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Entity Type | Organization
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Legal Business Name | WINSTON P EPPERSON
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Dates
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Enumeration Date | 01/15/2009
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Last Update Date | 12/07/2012
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Provider Practice Location Address
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Address Line | 12805 CULLEN BLVD STE. C
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City | HOUSTON
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State | TX
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Zip | 77047-3759
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Country | US
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Telephone | 713-731-7988
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Fax | 713-731-7854
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Provider Business Mailing Address
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Address Line | 12805 CULLEN BLVD STE. C
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City | HOUSTON
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State | TX
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Zip | 77047-3759
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Country | US
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Telephone | 713-731-7988
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Fax | 713-731-7854
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Authorized Official
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Title or Position | OWNER
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Name | WINSTON EPPERSON
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Credential |
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Telephone | 713-731-7988
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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 | 27736
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License Number State | TX
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