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General NPI Number Information
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NPI Number | 1770309254
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Entity Type | Organization
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Legal Business Name | PROSCRIPTION HEALTH LLC
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Dates
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Enumeration Date | 11/29/2024
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | 6214 BRYAN PKWY
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City | DALLAS
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State | TX
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Zip | 75214-4302
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Country | US
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Telephone | 469-400-3302
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Fax |
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Provider Business Mailing Address
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Address Line | 6214 BRYAN PKWY
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City | DALLAS
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State | TX
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Zip | 75214-4302
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Country | US
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Telephone | 469-400-3302
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | KRAIG W LOYD
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Credential |
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Telephone | 469-400-3302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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