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General NPI Number Information
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NPI Number | 1992030894
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Entity Type | Organization
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Legal Business Name | H-E-B, LP
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Dates
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Enumeration Date | 10/09/2009
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 2121 FM 2920 RD
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City | SPRING
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State | TX
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Zip | 77388
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Country | US
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Telephone | 281-907-7950
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Fax | 281-528-9615
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Provider Business Mailing Address
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Address Line | 2121 FM 2920 RD
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City | SPRING
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State | TX
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Zip | 77388-3412
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Country | US
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Telephone | 281-907-7950
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Fax | 281-528-9615
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Authorized Official
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Title or Position | GOVERNMENT PROGRAMS MANAGER
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Name | DAVID LIENDO
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Credential |
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Telephone | 210-938-3182
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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 | FH1672573
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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 | 26633
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License Number State | TX
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