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General NPI Number Information
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NPI Number | 1285018234
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Entity Type | Organization
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Legal Business Name | SKYEMED, INC
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Dates
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Enumeration Date | 07/18/2015
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Last Update Date | 07/18/2015
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Provider Practice Location Address
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Address Line | 1332 N FEDERAL HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33062-3730
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Country | US
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Telephone | 866-778-8255
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Fax | 800-432-6614
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Provider Business Mailing Address
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Address Line | 1332 N FEDERAL HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33062-3730
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Country | US
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Telephone | 866-778-8255
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Fax | 800-432-6614
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DEEPAK RANADE
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Credential | RPH
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Telephone | 866-778-8255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PH17169
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License Number State | FL
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