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General NPI Number Information
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NPI Number | 1154621308
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Entity Type | Organization
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Legal Business Name | ZMS 1 LLC
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 08/25/2014
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Provider Practice Location Address
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Address Line | 948 ORANGE AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4668
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Country | US
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Telephone | 386-310-8909
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Fax | 386-310-7908
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Provider Business Mailing Address
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Address Line | 948 ORANGE AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4668
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Country | US
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Telephone | 386-310-7909
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Fax | 386-310-7908
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Authorized Official
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Title or Position | OWNER
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Name | MR. SAMIR AMIN
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Credential |
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Telephone | 407-923-2223
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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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