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General NPI Number Information
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NPI Number | 1730529595
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Entity Type | Organization
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Legal Business Name | CARETECTURE, LLC
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 6101 WINDHAVEN PKWY SUITE 120
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City | PLANO
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State | TX
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Zip | 75093-8197
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Country | US
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Telephone | 972-378-6867
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Fax |
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Provider Business Mailing Address
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Address Line | 4704 ROCKCREEK LN
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City | PLANO
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State | TX
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Zip | 75024-2440
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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 | CEO
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Name | DR. KAZIM OLADOTUN OYENUGA
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Credential | BPHARM, PHD, MSE
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Telephone | 972-378-6867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 28608
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License Number State | TX
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