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General NPI Number Information
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NPI Number | 1801419692
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Entity Type | Organization
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Legal Business Name | JOLANTO CORPORATION
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Dates
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Enumeration Date | 05/27/2020
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Last Update Date | 05/27/2020
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Provider Practice Location Address
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Address Line | 10101 SOUTHWEST FWY STE 315
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City | HOUSTON
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State | TX
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Zip | 77074-1111
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Country | US
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Telephone | 832-358-8500
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Fax | 832-358-8539
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Provider Business Mailing Address
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Address Line | 10101 SOUTHWEST FWY STE 315
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City | HOUSTON
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State | TX
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Zip | 77074-1111
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Country | US
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Telephone | 832-358-8500
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Fax | 832-358-8539
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Authorized Official
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Title or Position | OWNER
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Name | LAN VU
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Credential | RPH.D
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Telephone | 832-358-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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