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General NPI Number Information
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NPI Number | 1881693646
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Entity Type | Organization
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Legal Business Name | I H S ACQUISTION XXX, INC
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3110 POLARIS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89102-8359
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Country | US
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Telephone | 702-876-0056
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Fax | 702-876-4559
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Provider Business Mailing Address
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Address Line | 309 HENDERSON DR
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City | SHARON HILL
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State | PA
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Zip | 19079-1034
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Country | US
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Telephone | 800-400-9549
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Fax | 610-586-5509
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Authorized Official
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Title or Position | PRESIDENT
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Name | VACANT VACANT
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Credential |
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Telephone | 800-400-9549
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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 | PH01751
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License Number State | NV
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