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General NPI Number Information
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NPI Number | 1134218829
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Entity Type | Organization
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Legal Business Name | DISPENSING PHYSICIAN CONSULTANT
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 01/04/2017
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Provider Practice Location Address
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Address Line | 4900 LINTON BLVD STE 21 AND 22
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City | DELRAY BEACH
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State | FL
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Zip | 33445-6688
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Country | US
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Telephone | 561-455-0090
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Fax | 561-455-0091
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Provider Business Mailing Address
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Address Line | 4900 LINTON BLVD STE 21 AND 22
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City | DELRAY BEACH
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State | FL
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Zip | 33445-6688
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Country | US
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Telephone | 561-455-0090
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Fax | 561-455-0091
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE DROGARIS
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Credential |
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Telephone | 561-455-0090
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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 | 3336C0004X
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Taxonomy Name | Compounding 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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH20127
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License Number State | FL
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