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General NPI Number Information
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NPI Number | 1700897212
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Entity Type | Organization
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Legal Business Name | CAVER-RAINS INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 07/19/2018
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Provider Practice Location Address
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Address Line | 4105 HOSPITAL ST
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City | PASCAGOULA
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State | MS
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Zip | 39581-5312
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Country | US
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Telephone | 228-762-1682
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Fax | 228-762-3240
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Provider Business Mailing Address
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Address Line | 4105 HOSPITAL RD
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City | PASCAGOULA
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State | MS
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Zip | 39581
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Country | US
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Telephone | 228-762-1682
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Fax | 228-762-3240
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Authorized Official
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Title or Position | CO-OWNER/RPH
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Name | TOD RAINS
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Credential | RPH
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Telephone | 228-762-1682
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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 | CS00975011
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License Number State | MS
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