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General NPI Number Information
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NPI Number | 1154318483
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Entity Type | Individual
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Provider Name | JOHN S ZWIRZ RPH
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Gender | Male
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 551 NATIONAL HEALTH CARE DR
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-1495
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Country | US
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Telephone | 386-323-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 1324 GREENLAND TRCE
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City | DELAND
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State | FL
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Zip | 32720-2557
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Country | US
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Telephone | 386-738-0234
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PS17180
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License Number State | FL
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