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General NPI Number Information
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NPI Number | 1689982860
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Entity Type | Organization
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Legal Business Name | SALUD PHARMACY #2 LLC
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Dates
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Enumeration Date | 09/21/2010
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 912 W 12TH ST
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City | DALLAS
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State | TX
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Zip | 75208-6005
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Country | US
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Telephone | 214-946-3886
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Fax | 214-946-3885
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Provider Business Mailing Address
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Address Line | 7310 CEDARBROOK RD
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City | ROWLETT
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State | TX
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Zip | 75089-7495
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Country | US
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Telephone | 214-476-6323
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Fax | 888-778-0421
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Authorized Official
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Title or Position | OWNER
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Name | MR. RAYMOND AMAECHI
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Credential |
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Telephone | 214-476-6323
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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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