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General NPI Number Information
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NPI Number | 1144555467
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Entity Type | Organization
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Legal Business Name | PHARMALIFE CONSULTANT INC
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 801 SW 1ST ST
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City | MIAMI
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State | FL
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Zip | 33130-1207
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Country | US
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Telephone | 305-545-5586
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Fax | 305-545-5587
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Provider Business Mailing Address
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Address Line | PO BOX 431258
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City | MIAMI
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State | FL
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Zip | 33243-1258
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Country | US
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Telephone | 305-545-5586
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Fax | 305-545-5587
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALBERTO DORADO
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Credential |
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Telephone | 305-545-5586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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Taxonomy #3
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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 #4
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 25182
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License Number State | FL
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