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General NPI Number Information
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NPI Number | 1275705667
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Entity Type | Organization
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Legal Business Name | ALL TECH PHARMACEUTICALS, INC
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 03/26/2008
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Provider Practice Location Address
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Address Line | 4286A PALM AVE
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City | HIALEAH
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State | FL
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Zip | 33012-4454
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Country | US
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Telephone | 305-231-8701
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Fax | 305-231-5963
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Provider Business Mailing Address
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Address Line | 4286A PALM AVE
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City | HIALEAH
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State | FL
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Zip | 33012-4454
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Country | US
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Telephone | 305-231-8701
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Fax | 305-231-5963
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE DIAZ
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Credential |
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Telephone | 305-231-8701
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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 | PH23279
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License Number State | FL
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