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BOX 409782ATLANTAGA30384-9782USANCVS PHARMACYEIDMANDAN KELLY MD2010-01-07T00:00:00270668501102066690051003201407SV42009-04-07T00:00:002010-01-30T00:00:001ZVR9V34310270-00948MNGTONTIAIG DOMESTIC CLAIMS INC10270-009400ARLINGTONTX76012-0000USA1962-08-01T00:00:00UZZ9N2CGCCCNFN2001-09-01T00:00:0038.21RX99BYN002010-01-07T00:00:002010-01-07T00:00:002010-01-20T00:00:0038.2169PMZ3URA7TMESYS6WXIFOOIMP.O. BOX 409782ATLANTAGA30384-9782USANCVS PHARMACYAGGARWALVED VIKAS MD2010-01-05T00:00:00270668601102066860031003201447SV42009-04-07T00:00:002010-01-30T00:00:001ZVR9V34310270-00948MNGTONTIAIG DOMESTIC CLAIMS INC10270-009400MONTGOMERYTX77356-0000USA1951-05-01T00:00:00UNCZ0ZC2CCC9C02006-02-01T00:00:00266.81RX99BYN002010-01-08T00:00:002010-01-08T00:00:002010-01-20T00:00:00266.81DA8PBR96JBTMESYS6WXIFOOIMP.O. BOX 409782ATLANTAGA30384-9782USANCVS PHARMACYTHOMPSONMATTHEW M MD2010-01-13T00:00:00270668701102066220021003201284SV42009-04-07T00:00:002010-01-30T00:00:001ZVR9V34310270-00948MNGTONTIAIG DOMESTIC CLAIMS INC10270-009400PILOT POINTTX76258-0000USA1971-12-01T00:00:00UNG0NJCFCCC9CN2005-05-01T00:00:0046.47RX99BYN002010-01-13T00:00:002010-01-13T00:00:002010-01-26T00:00:0046.47F4CB36VFFZTMESYS6WXIFOOIMP.O. BOX 409782ATLANTAGA30384-9782USANCOMMUNITY PHARMACYHELSTENROBERT ALLEN MD2010-01-13T00:00:00270668801102066220011003201286SV42009-04-07T00:00:002010-01-30T00:00:001ZVR9V34310270-00948MNGTONTIAIG DOMESTIC CLAIMS INC10270-009400PILOT POINTTX76258-0000USA1971-12-01T00:00:00UNG0NJCFCCC9CN2005-05-01T00:00:00146.33RX99BYN002010-01-13T00:00:002010-01-13T00:00:002010-01-26T00:00:00146.3343V6B9FZCFTMESYS6WXIFOOIMP.O. BOX 409782ATLANTAGA30384-9782USANCOMMUNITY PHARMACYSHULTZRODNEY PA2010-01-04T00:00:00270668901102067050011003201486SV42009-04-07T00:00:002010-01-30T00:00:001ZVR9V34310270-00948MNGTONTIAIG DOMESTIC CLAIMS INC10270-009400HOUSTONTX77084-0000USA1957-09-01T00:00:00U9GNJ2CCCCCC9C2002-12-01T00:00:0089.96RX99BYN002010-01-04T00:00:002010-01-04T00:00:002010-01-20T00:00:0089.96H0GL3OEJ9JTMESYS6WXIFOOIMP.O. BOX 409782ATLANTAGA30384-9782USANWALGREEN DRUG STORESYEDSHAHID H MD2010-01-09T00:00:00270669001102063020011003200501SV42009-04-07T00:00:002010-01-30T00:00:001ZVR9V34310270-00948MNGTONTIAIG DOMESTIC CLAIMS INC10270-009400BONHAMTX75418-0000USA1951-02-01T00:00:00UZF9CNC9CCCNFN2001-02-01T00:00:0023.55RX99BYN002010-01-09T00:00:002010-01-09T00:00:002010-01-20T00:00:0023.55OSBH4XK8H8TMESYS6WXIFOOIMP.O. BOX 409782ATLANTAGA30384-9782USANWAL-MART PHARMACYSCHADECRISTY M MD2010-01-15T00:00:00270669101102063960011003200733SV42009-04-07T00:00:002010-01-30T00:00:001ZVR9V34310270-00948MNGTONTIAIG DOMESTIC CLAIMS INC10270-009400LEWISVILLETX75057-0000USA1959-10-01T00:00:00UNCR9JCRCCC9CC2005-01-01T00:00:0023.55RX99BYN002010-01-15T00:00:002010-01-15T00:00:002010-01-20T00:00:0023.55D3B0MB8D7OTMESYS6WXIFOOIMP.O. BOX 409782ATLANTAGA30384-9782USANCVS PHARMACYHISEYMICHAEL SCOTT MD2010-01-07T00:00:00270669201101911540011003200293SV42009-04-07T00:00:002010-01-30T00:00:001ZVR9V34310270-00948MNGTONTIAIG DOMESTIC CLAIMS INC10270-009400SAN ANTONIOTX78229-0000USA1956-02-01T00:00:00UNF92GCCCCC9CR2007-02-01T00:00:00103.99RX99BYN002010-01-19T00:00:002010-01-15T00:00:002010-01-27T00:00:00103.99DD3B3BD8OMPMSIZBUHUUH5HP.O. BOX 409704ATLANTAGA30384-9704USANPMSI PHARMACYBARKERMICHAEL P MD2010-01-06T00:00:00270669301102065090021003201000SV42009-04-07T00:00:002010-01-30T00:00:001ZVR9V34310270-00948MNGTONTIAIG DOMESTIC CLAIMS INC10270-009400MAGNOLIATX77355-0000USA1946-07-01T00:00:00UNZRRRCJCCC9CR2006-11-01T00:00:00365.52RX99BYN002010-01-06T00:00:002010-01-06T00:00:002010-01-26T00:00:00365.52YHFJ73KZKITMESYS6WXIFOOIMP.O. BOX 409782ATLANTAGA30384-9782USANMAGNOLIA PHARMACYBASSBARRY MD2010-01-14T00:00:00270669401102066350051003201334SV42009-04-07T00:00:002010-01-30T00:00:001ZVR9V34310270-00948MNGTONTIAIG DOMESTIC CLAIMS INC10270-009400BAYTOWNTX77520-0000USA1963-01-01T00:00:00UN9GC2CGCCC9CR2006-09-01T00:00:0020.28RX99BYN002010-01-14T00:00:002010-01-14T00:00:002010-01-20T00:00:0020.28RYWA04V9MVTMESYS6WXIFOOIMP.O. 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