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General NPI Number Information
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NPI Number | 1780552182
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Entity Type | Organization
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Legal Business Name | HEB
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 9255 GRISSOM RD
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City | SAN ANTONIO
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State | TX
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Zip | 78251-2805
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Country | US
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Telephone | 210-680-2958
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Fax |
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Provider Business Mailing Address
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Address Line | 12707 JASPER LEAF
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City | SAN ANTONIO
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State | TX
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Zip | 78253-5533
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Country | US
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Telephone | 210-289-6126
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Fax |
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Authorized Official
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Title or Position | PHARMACY INTERN
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Name | KAYLA MARIE FUEHRMANN
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Credential |
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Telephone | 210-289-6126
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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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