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General NPI Number Information
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NPI Number | 1063059673
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Entity Type | Organization
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Legal Business Name | MDP PRODUCTS AND SERVICES
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Dates
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Enumeration Date | 12/02/2019
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 6602 STIRLING RD
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City | HOLLYWOOD
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State | FL
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Zip | 33024-1954
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Country | US
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Telephone | 855-693-5483
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Fax | 855-693-5483
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Provider Business Mailing Address
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Address Line | 10930 SW 13TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-3544
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Country | US
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Telephone | 954-371-6122
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Fax | 855-693-5483
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | DAVE SINGH
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Credential |
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Telephone | 954-371-6122
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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