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General NPI Number Information
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NPI Number | 1821367319
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Entity Type | Organization
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Legal Business Name | FAMILY BIOCARE LLC
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Dates
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Enumeration Date | 12/29/2011
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 4949 FAIRMONT PKWY SUITE 202
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City | PASADENA
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State | TX
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Zip | 77505-3757
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Country | US
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Telephone | 832-900-7712
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Fax | 281-991-1200
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Provider Business Mailing Address
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Address Line | 4949 FAIRMONT PKWY SUITE 202
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City | PASADENA
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State | TX
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Zip | 77505-3757
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Country | US
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Telephone | 832-900-7712
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Fax | 281-991-1200
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Authorized Official
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Title or Position | MANAGER
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Name | PHAM NGUYEN
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Credential |
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Telephone | 281-300-4490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 27825
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License Number State | TX
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