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General NPI Number Information
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NPI Number | 1053940247
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Entity Type | Individual
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Provider Name | RICARDO F GINES PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 2036 E ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33060-6554
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Country | US
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Telephone | 954-781-6876
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Fax |
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Provider Business Mailing Address
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Address Line | 632 WOODGATE CIR
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City | SUNRISE
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State | FL
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Zip | 33326-2187
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Country | US
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Telephone | 954-639-2801
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS60247
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License Number State | FL
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