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General NPI Number Information
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NPI Number | 1245532373
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Entity Type | Organization
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Legal Business Name | GEMMA MEDS, INC
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Dates
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Enumeration Date | 11/22/2010
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 760 W SAMPLE RD STE 6
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City | POMPANO BEACH
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State | FL
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Zip | 33064-2768
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Country | US
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Telephone | 561-278-5818
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Fax |
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Provider Business Mailing Address
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Address Line | 760 W SAMPLE RD STE 6
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City | POMPANO BEACH
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State | FL
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Zip | 33064-2768
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Country | US
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Telephone | 561-278-5818
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Fax |
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Authorized Official
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Title or Position | PT
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Name | CHARMAINE BREWSTER
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Credential |
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Telephone | 561-278-5818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH25042
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License Number State | FL
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