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General NPI Number Information
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NPI Number | 1164724167
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Entity Type | Organization
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Legal Business Name | DRUG WORLD
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 8050 ABERDEEN DR #201
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-2915
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Country | US
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Telephone | 305-374-1029
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Fax |
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Provider Business Mailing Address
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Address Line | 8050 ABERDEEN DR #201
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-2915
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Country | US
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Telephone | 305-374-1029
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Fax |
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Authorized Official
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Title or Position | P
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Name | EDWARD JAFFE
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Credential |
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Telephone | 305-374-1029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH24972
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License Number State | FL
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