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General NPI Number Information
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NPI Number | 1659683480
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Entity Type | Organization
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Legal Business Name | MFSB, INC.
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 04/12/2011
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Provider Practice Location Address
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Address Line | 2102 N MAIN ST SUITE B
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City | HOUSTON
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State | TX
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Zip | 77009-8024
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Country | US
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Telephone | 713-677-0501
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Fax | 713-677-0666
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Provider Business Mailing Address
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Address Line | 5922 BEECH DR
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City | MONTGOMERY
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State | TX
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Zip | 77316-2735
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Country | US
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Telephone | 936-443-8528
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CAROLYN JOYCE PATTERSON
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Credential |
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Telephone | 936-443-8528
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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 | 27008
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License Number State | TX
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