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General NPI Number Information
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NPI Number | 1962918581
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Entity Type | Organization
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Legal Business Name | DORADO RX PHARMACY,LLC
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 4060 FAUDREE RD STE 101
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City | ODESSA
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State | TX
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Zip | 79765-8755
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Country | US
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Telephone | 432-614-6828
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Fax |
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Provider Business Mailing Address
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Address Line | 9212 LAMAR AVE
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City | ODESSA
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State | TX
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Zip | 79765-1452
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | VATSAL PATEL
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Credential |
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Telephone | 207-518-3235
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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 | 31767
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License Number State | TX
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