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General NPI Number Information
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NPI Number | 1033510060
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Entity Type | Organization
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Legal Business Name | ADVANCERX PHARMACY,INC
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 26059 S DIXIE HWY
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City | HOMESTEAD
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State | FL
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Zip | 33032-6613
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Country | US
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Telephone | 786-410-8171
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Fax | 786-410-8186
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Provider Business Mailing Address
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Address Line | 26059 S DIXIE HWY
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City | HOMESTEAD
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State | FL
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Zip | 33032-6613
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Country | US
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Telephone | 786-410-8171
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Fax | 786-410-8186
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Authorized Official
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Title or Position | OWNER
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Name | MISS MILEYDI ESTEVEZ
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Credential |
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Telephone | 786-410-8171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH28530
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License Number State | FL
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