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General NPI Number Information
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NPI Number | 1013348564
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Entity Type | Organization
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Legal Business Name | DARJEN, INC
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Dates
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Enumeration Date | 12/10/2013
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Last Update Date | 10/03/2017
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Provider Practice Location Address
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Address Line | 10358 RIVERSIDE DR STE 140
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4203
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Country | US
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Telephone | 561-557-1645
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Fax | 561-557-1649
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Provider Business Mailing Address
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Address Line | 10358 RIVERSIDE DR STE 140
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4203
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Country | US
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Telephone | 561-557-1645
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Fax | 561-557-1649
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHELLE NOTARTOMASO
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Credential |
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Telephone | 561-557-1645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | PH27069
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State | FL
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