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General NPI Number Information
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NPI Number | 1225141807
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Entity Type | Organization
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Legal Business Name | L & M PHARMACY 2 LLC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1865 W WOOLBRIGHT RD
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-6321
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Country | US
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Telephone | 561-734-1918
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Fax | 561-734-1909
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Provider Business Mailing Address
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Address Line | 7040 W PALMETTO PARK RD SUITE 12
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City | BOCA RATON
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State | FL
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Zip | 33433-3407
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Country | US
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Telephone | 561-620-2611
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Fax | 561-620-4999
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK JAY RUBIN
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Credential | RPH
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Telephone | 561-756-3257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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