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General NPI Number Information
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NPI Number | 1851743579
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Entity Type | Organization
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Legal Business Name | ZOEY HOLDINGS LLC
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 130 EDWARDS CIR
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City | FLORA
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State | MS
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Zip | 39071-9015
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Country | US
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Telephone | 601-879-5544
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Fax | 601-879-5542
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Provider Business Mailing Address
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Address Line | 34314 TORREGANO RD
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City | SLIDELL
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State | LA
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Zip | 70460-2940
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Country | US
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Telephone | 985-640-9994
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Fax | 985-847-1144
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Authorized Official
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Title or Position | PARTNER
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Name | DAVID EVANS
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Credential | BS
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Telephone | 985-640-9994
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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 | 14875/1.1
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License Number State | MS
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