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General NPI Number Information
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NPI Number | 1164793642
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Entity Type | Organization
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Legal Business Name | ROSEL RX INC
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Dates
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Enumeration Date | 01/16/2012
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 7301 N UNIVERSITY DR STE 100
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City | TAMARAC
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State | FL
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Zip | 33321-2909
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Country | US
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Telephone | 954-721-8660
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Fax | 954-721-8659
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Provider Business Mailing Address
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Address Line | 7301 N UNIVERSITY DR SUITE 100
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City | TAMARAC
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State | FL
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Zip | 33321-2919
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Country | US
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Telephone | 954-721-8660
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Fax | 954-721-8659
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERNESTO GARCIA
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Credential |
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Telephone | 786-443-7061
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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 |
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License Number State |
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Taxonomy #2
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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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