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General NPI Number Information
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NPI Number | 1013209295
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Entity Type | Organization
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Legal Business Name | PHARMALIFE #2, INC.
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 4443 NW 2 AVENUE
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City | MIAMI
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State | FL
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Zip | 33127
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Country | US
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Telephone | 305-572-9210
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Fax | 305-572-9260
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Provider Business Mailing Address
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Address Line | 4443 NW 2ND AVENUE
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City | MIAMI
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State | FL
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Zip | 33127
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Country | US
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Telephone | 305-572-9210
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Fax | 305-572-9260
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALBERTO DORADO
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Credential |
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Telephone | 305-668-6684
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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 | PH25410
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License Number State | FL
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