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General NPI Number Information
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NPI Number | 1104172824
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Entity Type | Organization
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Legal Business Name | SUNVIEW PHARMACY LLC
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 07/31/2012
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Provider Practice Location Address
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Address Line | 6355 SW 8TH ST UNIT 100
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City | WEST MIAMI
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State | FL
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Zip | 33144-4858
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Country | US
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Telephone | 786-385-5370
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Fax |
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Provider Business Mailing Address
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Address Line | 6355 SW 8TH ST UNIT 100
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City | WEST MIAMI
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State | FL
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Zip | 33144-4858
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OSIRIS RODRIGUEZ
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Credential |
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Telephone | 786-385-5370
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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 | PH26278
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License Number State |
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