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General NPI Number Information
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NPI Number | 1144632597
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Entity Type | Organization
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Legal Business Name | PRX TOPICALS, LLC
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 3650 CORAL RIDGE DR SUITE 107
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-2557
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Country | US
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Telephone | 888-719-1725
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Fax | 888-719-1726
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Provider Business Mailing Address
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Address Line | 27902 MEADOW DR SUITE 130
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City | EVERGREEN
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State | CO
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Zip | 80439-2106
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Country | US
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Telephone | 303-674-2511
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Fax | 888-719-1726
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Authorized Official
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Title or Position | MEMBER
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Name | MR. VICTOR J RONDER
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Credential |
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Telephone | 303-674-2511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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