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General NPI Number Information
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NPI Number | 1104844166
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Entity Type | Organization
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Legal Business Name | DAYEST MEDICAL SERVICES INC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 06/01/2011
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Provider Practice Location Address
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Address Line | 17356 S DIXIE HWY
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City | VILLAGE OF PALMETTO BAY
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State | FL
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Zip | 33157-4319
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Country | US
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Telephone | 305-255-5959
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Fax | 305-255-9991
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Provider Business Mailing Address
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Address Line | 17356 S DIXIE HWY
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City | VILLAGE OF PALMETTO BAY
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State | FL
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Zip | 33157-4319
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Country | US
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Telephone | 305-255-5959
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Fax | 305-255-9991
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GUILLERMO GONZALEZ
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Credential |
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Telephone | 305-255-5959
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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 | PH22275
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License Number State | FL
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