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General NPI Number Information
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NPI Number | 1891585402
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Entity Type | Organization
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Legal Business Name | WOODLANDS CLAIMS HOLDING LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 3275 COLLEGE PARK DR STE 1A
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City | THE WOODLANDS
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State | TX
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Zip | 77384-4501
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Country | US
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Telephone | 936-877-1167
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Fax | 936-877-1167
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Provider Business Mailing Address
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Address Line | 3275 COLLEGE PARK DR STE 1A
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City | THE WOODLANDS
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State | TX
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Zip | 77384-4501
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Country | US
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Telephone | 936-877-1167
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | SIMONNE C FONSECA
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Credential | R.PH.
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Telephone | 832-549-3935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic 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 |
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License Number State |
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