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General NPI Number Information
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NPI Number | 1225406200
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Entity Type | Organization
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Legal Business Name | WESLEY CHAPEL RX LLC
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 2653 BRUCE B DOWNS BLVD STE 115
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9206
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Country | US
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Telephone | 813-991-9200
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Fax | 813-991-1900
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Provider Business Mailing Address
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Address Line | 2653 BRUCE B DOWNS BLVD STE 115
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544
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Country | US
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Telephone | 813-991-9200
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Fax | 813-991-1900
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Authorized Official
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Title or Position | OWNER
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Name | ALPESH PATEL
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Credential |
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Telephone | 813-304-2221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty 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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH29362
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License Number State | FL
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