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General NPI Number Information
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NPI Number | 1235574013
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Entity Type | Organization
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Legal Business Name | SBCARE HEALTH NETWORK
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Dates
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Enumeration Date | 05/07/2013
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Last Update Date | 05/07/2013
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Provider Practice Location Address
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Address Line | 2509 NE 14TH ST
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City | OCALA
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State | FL
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Zip | 34470-4801
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Country | US
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Telephone | 352-484-1335
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Fax |
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Provider Business Mailing Address
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Address Line | 10007 SW 42ND AVE
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City | OCALA
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State | FL
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Zip | 34476-4786
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Country | US
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Telephone | 352-484-1335
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BOSEDE OLORUNLOGBON
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Credential |
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Telephone | 352-299-5377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH26816
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License Number State | FL
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