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General NPI Number Information
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NPI Number | 1700473089
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Entity Type | Organization
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Legal Business Name | LAMJUNG LLC
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 601 HARWOOD RD STE 1
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City | BEDFORD
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State | TX
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Zip | 76021-4272
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Country | US
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Telephone | 817-398-4250
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Fax | 817-398-4057
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Provider Business Mailing Address
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Address Line | 601 HARWOOD RD STE 1
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City | BEDFORD
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State | TX
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Zip | 76021-4272
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Country | US
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Telephone | 817-398-4250
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Fax | 817-398-4057
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Authorized Official
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Title or Position | OFFICER
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Name | MR. HARIS CHANDRA NEUPANE
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Credential | R PHT
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Telephone | 469-688-3425
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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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