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General NPI Number Information
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NPI Number | 1922356708
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Entity Type | Organization
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Legal Business Name | LAMRX LLC
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Dates
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Enumeration Date | 08/27/2012
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 404 S VETERANS BLVD STE C
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City | EDINBURG
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State | TX
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Zip | 78539-4721
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Country | US
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Telephone | 956-316-3588
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Fax | 956-316-3598
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Provider Business Mailing Address
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Address Line | 404 S VETERANS BLVD SUITE C
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City | EDINBURG
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State | TX
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Zip | 78539-4716
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Country | US
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Telephone | 956-316-3588
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Fax | 956-316-3598
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | OMAR ESPERICUETA
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Credential | RPH
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Telephone | 956-638-1769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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 #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28094
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License Number State | TX
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