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General NPI Number Information
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NPI Number | 1255496683
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Entity Type | Organization
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Legal Business Name | CAREMED HEALTH CORPORATION
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | 3480 MORNING LAKE DR UNIT 202
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-9160
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Country | US
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Telephone | 239-949-9036
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Fax |
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Provider Business Mailing Address
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Address Line | 3480 MORNING LAKE DR UNIT 202
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-9160
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Country | US
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Telephone | 239-949-9036
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | ROSCOE HEIM
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Credential | PHARMACIST
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Telephone | 239-992-7633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH17697
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License Number State | FL
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