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General NPI Number Information
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NPI Number | 1265606537
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Entity Type | Organization
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Legal Business Name | MEDCAP INVESTMENT GROUP LLC
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 08/25/2009
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Provider Practice Location Address
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Address Line | 1001 WYNMOOR CIRCLE
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City | COCONUT CREEK
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State | FL
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Zip | 33066
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Country | US
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Telephone | 954-979-9771
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Fax | 954-979-9645
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Provider Business Mailing Address
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Address Line | 1301 AVE OF THE STARS
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City | COCONUT CREEK
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State | FL
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Zip | 33066
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANG PARTNER
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Name | MUSTRA QURESHI
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Credential |
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Telephone | 305-773-0334
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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 | PH23325
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License Number State | FL
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