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General NPI Number Information
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NPI Number | 1700761715
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Entity Type | Organization
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Legal Business Name | PRO-SPECTUS HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 15058 BELTWAY DR STE 119B
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City | ADDISON
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State | TX
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Zip | 75001-3700
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Country | US
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Telephone | 877-877-5321
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Fax |
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Provider Business Mailing Address
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Address Line | 15058 BELTWAY DR STE 119B
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City | ADDISON
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State | TX
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Zip | 75001-3700
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF PHARMACY AND CLINICAL SERVICE
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Name | JUSTIN NEAL
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Credential |
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Telephone | 518-542-6074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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