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General NPI Number Information
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NPI Number | 1275991515
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Entity Type | Organization
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Legal Business Name | VOLITION GROUP CORP
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 125 SR 436
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City | FERN PARK
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State | FL
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Zip | 32730
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Country | US
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Telephone | 407-636-8733
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Fax | 407-386-3245
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Provider Business Mailing Address
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Address Line | 125 SR 436
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City | FERN PARK
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State | FL
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Zip | 32730
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Country | US
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Telephone | 407-636-8733
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Fax | 407-386-3245
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Authorized Official
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Title or Position | PRESIDENT
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Name | PASCHAL NZERUE
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Credential | PHARM.D
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Telephone | 786-262-6040
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH29812
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License Number State | FL
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