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General NPI Number Information
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NPI Number | 1750934287
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Entity Type | Organization
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Legal Business Name | DALTON HERZIG, INC.
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Dates
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Enumeration Date | 07/23/2019
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 904 AUTUMN RD STE 275
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3745
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Country | US
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Telephone | 501-224-3499
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Fax |
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Provider Business Mailing Address
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Address Line | 904 AUTUMN RD STE 275
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3745
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Country | US
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Telephone | 501-224-3499
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. GWENDOLYN HERZIG
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Credential |
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Telephone | 501-224-3499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care 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 |
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License Number State |
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