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General NPI Number Information
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NPI Number | 1962850552
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Entity Type | Organization
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Legal Business Name | RUBENS RX LLC
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 615 E UNIVERSITY DR STE 1
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City | EDINBURG
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State | TX
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Zip | 78539-3635
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Country | US
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Telephone | 956-639-5208
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Fax | 956-800-1050
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Provider Business Mailing Address
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Address Line | PO BOX 4494
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City | EDINBURG
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State | TX
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Zip | 78540-4494
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Country | US
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Telephone | 956-639-5208
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Fax | 956-800-1050
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Authorized Official
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Title or Position | PRESIDENT/MEMBER
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Name | RUBEN ZAVALA
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Credential |
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Telephone | 956-639-5208
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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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Taxonomy #2
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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 #3
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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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