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General NPI Number Information
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NPI Number | 1235104670
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Entity Type | Organization
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Legal Business Name | NAVAL BRANCH HEALTH CLINIC KEY WEST
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 1300 DOUGLAS CIR
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City | KEY WEST
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State | FL
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Zip | 33040-4536
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Country | US
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Telephone | 305-293-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 DOUGLAS CIRCLE
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City | KEY WEST
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State | FL
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Zip | 33040
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Country | US
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Telephone | 305-293-4600
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Fax |
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Authorized Official
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Title or Position | HEAD, PHARMACY SERVICES
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Name | LOUIS VICTOR GUARNO
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Credential | R.PH.
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Telephone | 305-293-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS29644
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License Number State | FL
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