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General NPI Number Information
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NPI Number | 1992129019
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Entity Type | Organization
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Legal Business Name | HEALTHSCRIPTS OF AMERICA-SOUTHWEST LOUISIANA,LLC
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 02/10/2014
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Provider Practice Location Address
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Address Line | 1575 MAPLEWOOD DRIVE SUITE A
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City | SULPHUR
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State | LA
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Zip | 70663
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Country | US
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Telephone | 832-494-3210
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Fax | 832-494-3218
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Provider Business Mailing Address
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Address Line | 6565 WEST LOOP S SUITE 110
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City | BELLAIRE
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State | TX
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Zip | 77401-3500
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Country | US
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Telephone | 832-494-3210
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Fax | 832-494-3218
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Authorized Official
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Title or Position | CEO
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Name | KAMRAN NEZAMI
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Credential |
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Telephone | 832-494-3210
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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 | PHY.6834
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License Number State | LA
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