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General NPI Number Information
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NPI Number | 1861973562
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Entity Type | Organization
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Legal Business Name | HEALOGIX CONSULTANTS, LLC
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 601-1 HARWOOD RD
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City | BEDFORD
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State | TX
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Zip | 76021
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Country | US
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Telephone | 888-964-7336
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Fax |
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Provider Business Mailing Address
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Address Line | 601-1 HARDWOOD RD
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City | BEDFORD
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State | TX
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Zip | 76021
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATHAN PHAN
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Credential | PHARM. D
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Telephone | 214-679-4492
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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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