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General NPI Number Information
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NPI Number | 1770366114
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Entity Type | Organization
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Legal Business Name | PARADIGM RX LLC
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Dates
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Enumeration Date | 08/18/2023
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 26077 NELSON WAY STE 804
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City | KATY
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State | TX
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Zip | 77494-6686
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Country | US
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Telephone | 346-387-9962
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Fax | 832-437-4938
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Provider Business Mailing Address
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Address Line | 7035 AVENUE L
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City | HOUSTON
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State | TX
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Zip | 77011-2757
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Country | US
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Telephone | 346-262-3309
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH MIJANGOS
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Credential |
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Telephone | 346-262-3309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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