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General NPI Number Information
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NPI Number | 1649653874
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Entity Type | Organization
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Legal Business Name | AMERICAN SPECIALTY PHARMACY INC
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 08/17/2016
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Provider Practice Location Address
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Address Line | 501 S RANCHO DR UNIT G
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City | LAS VEGAS
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State | NV
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Zip | 89106-4828
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Country | US
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Telephone | 702-912-4844
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Fax | 702-912-4846
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Provider Business Mailing Address
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Address Line | 13988 DIPLOMAT DR STE 100
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-8807
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Country | US
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Telephone | 214-919-2520
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Fax | 214-919-2524
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABDUL HAMEED
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Credential |
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Telephone | 734-218-1641
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH03347
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License Number State | NV
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