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General NPI Number Information
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NPI Number | 1740071661
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Entity Type | Organization
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Legal Business Name | DEVELOP HEALTH RX, LLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 219 N 27TH ST STE 24
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City | BOISE
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State | ID
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Zip | 83702-4723
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Country | US
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Telephone | 415-404-3149
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Fax | 844-821-0399
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Provider Business Mailing Address
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Address Line | 815 ARBOR RD
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City | MENLO PARK
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State | CA
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Zip | 94025-5021
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Country | US
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Telephone | 415-404-3149
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Fax | 844-821-0399
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Authorized Official
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Title or Position | CTO/ CO-FOUNDER
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Name | BEN EASTON
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Credential |
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Telephone | 510-391-5079
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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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