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General NPI Number Information
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NPI Number | 1194509208
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Entity Type | Organization
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Legal Business Name | FAX PHARMA INC
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 3850 BIRD RD STE 105
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City | MIAMI
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State | FL
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Zip | 33146-1507
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Country | US
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Telephone | 786-590-1567
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Fax | 786-524-5733
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Provider Business Mailing Address
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Address Line | 3850 BIRD RD STE 105
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City | MIAMI
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State | FL
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Zip | 33146-1507
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Country | US
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Telephone | 786-590-1567
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Fax | 786-524-5733
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | FRANCISCO X MONCADA
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Credential | RN
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Telephone | 786-590-1567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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