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General NPI Number Information
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NPI Number | 1912057605
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Entity Type | Individual
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Provider Name | RALPH WAYNE WEST RPH
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 02/22/2026
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Provider Practice Location Address
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Address Line | 124 W RENFRO ST
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City | BURLESON
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State | TX
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Zip | 76028-4260
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Country | US
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Telephone | 817-295-6128
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Fax | 817-295-5248
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Provider Business Mailing Address
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Address Line | 2305 CHARLES AVE
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City | BURLESON
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State | TX
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Zip | 76028-2256
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Country | US
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Telephone | 817-447-9723
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Fax | 817-295-6128
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15343
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License Number State | TX
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