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General NPI Number Information
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NPI Number | 1851475982
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Entity Type | Organization
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Legal Business Name | OCEANSIDE INTERNATIONAL INC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 789 E PARK ROW DR
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City | ARLINGTON
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State | TX
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Zip | 76010-4408
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Country | US
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Telephone | 972-513-1900
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Fax | 972-513-1400
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Provider Business Mailing Address
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Address Line | 789 E PARK ROW DR
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City | ARLINGTON
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State | TX
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Zip | 76010-4408
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Country | US
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Telephone | 972-513-1900
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Fax | 972-513-1400
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | RISPER ABUGA
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Credential |
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Telephone | 972-513-1900
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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 | 21869
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License Number State | TX
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